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VALLI VUE ESTATES #2 BLK 5 LT 16
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 Permit Number: ~; ~rO0~l PID Number: Ol~' 12.~,z¢ I Name: J^NE £RK ~ NN Wastewater System: D New. ~Upgrade Phone: 3~-2~ ]No. of Be~ooms: ~eepT~e.ch ~ Shallow Trench ~Bed ~Mound LEGAL DESCRIPTION so, Rating: Total Depth from original grade: I. ~ GPD/Sq. Ft. IR ] Fill added above original grade; Gravel ~eng:h: W~: 0 New ~ Upgrade ;r,~,~idth: 2'~ Ft. )I N.A. Ft. Ft. ~LS ~CAVAT~N6 Yield:GPM IPump set at: Ft. [casin9 HeigMAb°ve Gr°und:FL TANK SEPARATION DISTANCES u septic ~ Holding ~S,T.E.P. To Septic Absorplion Lilt Holding )ublic/PrivafeManufacturer: Capacily in gallons: / / Maledal: Number of Compadmenls: Well ~ ~200~ ~200 -- >2~ STEEL Surface Water ~/oo' ~ZOO' ~/OO' -- ~/oO' LIFT STATION Lot Line ]~ ~ ~ I ~ ~ ¢ Size in gallons: Manufacturer: Foundation ~ i ~ ~ i ~ I ~ O 'Pump, s.on" level at: I ql""pump Off" Iovol at: I ~?,,High water alarm at: Curtain ~ump Make & Model ] Electrical Inspections performed by: 3 Location and Description: I Assumed Elevation: ENGINEER'S SEAL Inspections performed by: ~ZATTOP T~Cfl. EYCS Dates: 1st, 5~o/qV ~,~¢~"~TH~¢ .~ DopaHmont of Hoal~man Seruicos approval ~ · .. 3 (Rev. g/91) MOA 25 ,, , Permit No. 5k/ Page ~' of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska, 99519-6650 · TeJephone: 343~4~"~ On-Site Wastewater Disposal System and/or Well Inspection Report ABS. .LoT J[~ B£KS', [,'ALLI I/EE ~T'. '~2 PIDNo.: 01~123q..'1 FIOU$ E CORN~ P- .~: ; B poRcHES '. ( TgH- CE-3589 ?2-053 A (2/gl) MOA 25 ' · PermitNo. Sh/ c/~oO$1 Page . 3: of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O; Box 196650 · Anchorage, Alaska 99519-6650 ·Teiephone: 343~47'~'~ On-Site Wastewater Disposal System and/or Well Inspection Report J, . , , STEP TANK 5: · OUTLET ' LegalDescription: LoT 1~ 13l../( ~ [//~ZI.I VO'E' EST' ¢2. PIDNo.: 01'5'12i3/"/I.- (BoTHE ~4~,_~5 BOTTO~ O~= 'FREm,/C/~ .%S hE'{ TO ENGINEER'S SEAL REOEIVED AUGi ~ 4 1994!!, ..................... · .. Muni¢ipaliiy'bf Anchorag? ' ,uepL Health 8, Human 8erwCes ,' 72-013 A (2/91) MOA 25 " AUG ?. 4.1954 Mu~!c psliW of Anchorage Dept, Hea!Lh & Human Services MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.0. BOX 196650, 825 "L" STREET, ROOM 502 ANCHOP~AGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUP~ER:SW940081 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:ERKFLANN JANE A OWNER ADDRESS:6851 CROOKED TREE DR ANCHOKAGE, ALASKA 99516 DATE ISSUED: 4/19/94 EXPIRATION DATE: 4/19/95 PARCEL ID:01512341 LEGAL DESCRIPTION: VALLI VUE ESTATES ~2 BLK T 16 5 L LOT SIZE: 20688 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 (18AAC?2) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM LrNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AiYD HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: DATE: Tom Fink, Mayor Department of Health and Human Services 825 ,L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 April 19, 1994 Ted Moore, P.E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Waiver Request for Lot 16 Block 5 Valli Vue Estates S/D #2 Waiver Request #WR940014, PID #015-123-41, SW940081 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 0 feet from the absorption area' to the lot 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, Civil Engineer On-site Services ljw#7 MUNICIPALITY OF ANCHORA~~ Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~ WR940014 PID# 015-123-41 HA# Permit Date Received: April 11, 1994 Legal Description: Lot 16 Block 5 Valli Vue Estates ~2 Engineer: Ted Moore, P.E., Flattop Technical Services 14530 Echo Street, Anchoraqe, Alaska 99516 Applicant: John/Jane Erkmann Waiver Requested: Lot Line waiver 0 feet from absorption area to lot line Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: y Waiver is NOT Granted: List Conditions or Reasons for above: Date: By: ~f Reviewer Rec #: 25797/3657 Amount: $ 115.00 Date Paid: 4-11-94 TEC. HNICAL:.SER YHEODORE F. MOORE, P.E. 14530 ECHO ST. (907) 345-1355 April 11, 1994 ANCHORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on Lot 16, Block 5, Valll Vue Estates//2, located at 6851 Crooked Tree Drive. The original seepage pit is no longer able to absorb the wastewater flow originating in the residence. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for yom' review. We are also requesting a waiver allowing the system to be 0 feet from the front lot line. The proposed system will be constructed in the vicinity of test hole # 2. As can be seen from the soil log, the native material between 5' and 17' below ground level is a clean gravelly sand with a measm'ed perc rate of less than 1 minute per inch. Attached is a sieve analysis of a sample of this soil showing it is classified as SP. The material between 17' and 19' is a uniform medium sand visually classified as SW. I recommend that a soil absorption trench be constructed between the depths of 5.5 and 13 feet below ground level. Using the soil application rate of 1.2 specified in the wastewater ordinance for sand with a perc rate of faster than 5 minutes per inch, this 4 bedroom residence requires a total absorption area of (4 x 150)/1.2 = 500 square feet. The proposed 36 foot long trench with 7 feet of sewer gravel has a total absorption area of 504 squm'e feet. The topogn'aphy of the lot is complex with the northeastern third sloping steeply down towards a ravine. The residence sits on a low knoll, and the front edge of the lot slopes gently towards the northwest parallel to the street. Test hole #1, located near the southeast lot line, encountered wastewater originating' in the existing seepage pit, which pretty much eliminates this area as a possible upgrade site. We feel the optimum upg/ade site is parallel to the property line fronting Crooked Tree Drive. A lot line waiver down to 0 feet is necessary to allow construction of the trench in the relatively fiat area at the toe of the knoll. Since the affected lot line borders on a mad R.O.W., granting the waiver will not affect the ability to develop future wastewater disposal systems on adjoining lots. The discharge line from the STEP tank to the new soil absorption trench will have to cross the water service line leading into the residence. To minimize the possibility of cross-contamination we have specified that the discharge line be HDPE with no joints between the STEP tm~k and the disposal trench. The proposed project will have no impact on present or futm'e water supply and wastewater disposal systems serving adjacent properties, nor will it have any impact on reserved space/surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. 5% LOT 15 INSTALL 36' LONG SOIL AMS. TRENCH W, 7' SEWER GRAVEL \ \ \ 1.25" DIA. 5CO/of BREAKIN SLOPE 10%~' 50% LOT 16 BLOCK 5 TRACT"B" EXISTING . - ~, 4 BEDROOM ',. '' HOUSE '- ~ EXISTING 1500 GAL TEST __SEPTIC TANK 50%/~, HOL~EE ~.~ EPLACED WITH 1500 GALLON (.~ KNOLL STEP TANK) '-, W. TREES % EXISTING CONCRETE RING SEEPAGE PIT (TO BE IN PLACE) O_-~Q\ HBPE PIPE \ SEPTIC \ ~,~>,X \ o #1 SYSTEM ~ ~0' X WATERLINE ~ LOT17 xx , HOUSE LOT 24 X ~:~ ~..~(~ ~-. LOT 16, BLK. 5, VALLI VUE EST. ~2 ~ ~?a~,N~ ~ SITE PLAN ~;--~"i."'~ 14530 ECHO ST~ET I DRAWN BY TFM )4~2~ ~;X' ~*~$~ NOTE: THIS IS NOT A SURVEYED P~T. "'~~J~,2~~_____ ALL LOCATIONS SHOWN ARE APPROXIMATE. 4" DIA D-3034 ,,~ FDN. © © 1500 GALLON STEP TANK 1 1/4" DIA. HDPE (NON-PERFORATED) PLAN VIEW SCALE: 1" = 10'-0" FINISH G SECTION "A - A" SCALE: 1" = 5'-0" kGROUND FABRIC 11~"DIAHDPE HOLES IN BOTTOM 2'O.C. 1~"-21~" SEWER GRAVEL LOT 16, BLK. 5, VALLI VUE EST. #2 SEPTIC SYSTEM UPGRADE PLAN AND CROSS-SECTION FLATTOP TECHNICAL SERVICES 14530 ECHO STREET ANCHORAGE, AK, 99516 SCALE: AS SHOWN DRAWN BY: TFM DATE: APRIL, 1994 Flattop Technical Services 14530 Echo Street, Anchorage, AK99516 Phone (907) 345-1355 Lot 16, Block 5, Valli Vue Estates 82 6851 Crooked Tree Drive Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of abandonment of an existing 1500 gallon septic tank and seepage pit and installation of a new 1500 gallon STEP tank and a 36 foot long soil absorption trench containing 7.4 feet of sewer ga'avel. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall confmvn with Municipal and State requirements. All separation distances shall be in confmvnance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The conU'actor shall provide adequate cover material and rough grading over all system components to ensure that proper dialnage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding ail areas disturbed by the construction. 1.6 Repair of the portions of the asphalt diiveway pavement which must be removed to allow abandonment of the existing seepage pit and installation of the wastewater discharge line is not covered by these specifications. 2.0 Septic Tank: 2.1 The existing septic tank is to be properly abandoned by thoroughly pumping, removing the top and backfilling with soil. If the contractor wishes to install the new STEP tank in the same location as the original septic tank, then the original tank must be removed, crushed and buried on site. 2.2 The new 1500 gallon, 2 compartment STEP tank shall be Municipally approved and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated w~th 2 inches of approved burial type, rigid insulation. 2.3 All pipe connections to tbe tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4"' per foot. A cleanout shall be installed within 5 feet of the building foundation. 3.0 Lift station: 3.1 The lift station shall be installed in the second compm'tment of the septic tank which has an additional 250 gallon capacity. The lift station package shall be an "Omnco" system as supplied by Anchorage Tank. 3.2 The contractor shall be responsible to obtain the necessary Municipal electric permit and inspection, and shall provide a copy of the electrical inspector's report to the engineer overseeing the construction of the wastewater disposal system. 3.3 The lift station shall be equipped with a watertight, insulated manhole riser and cover extending a minimum of 6" above final grade with positive surface di'alnage away from the manhole. The contractor shall be responsible for determining the necessary length of the manhole riser. 3.4 The on, off, and alarm floats shall be set at the elevations specified by the lift station supplier, and their proper operations shall be verified by the contractor. 3.5 The discharge line from the lift station to the soil absorption system shall be 1.25" dia. HDPE with a minimum pressure rating of 110 psi. At the contractor's discretion, 1 1/2" dia HDPE may be substituted. No joints will be allowed in the discharge line between the lift station and the soil absorption trench. A minimum 2 foot vertical separation shall be achieved where the discharge line crosses the water service line. The two lines need not be perpendicular to each other at the point of crossing. 4.0 Soil absorption system: 4.1 The soil absorption system shall be constructed by excavating a 36 foot long trench to a depth of 13 feet below the level of the ground adjacent to the center of the trench. 4.2 The bottom of the excavation shall be level. Warning: special care shall be taken to avoid injury, as the side walls of the trench may not be stable. If the sidewalls do slough in, the sloughed material shall be re-excavated and additional sewer gravel will be required to fill the additional volume. 4.3 A total of 7.4 feet of approved sewer gravel shall be placed in the bottom of the excavation with the perforated dislribution pipe laid level such that the pipe invert is no less than 7 feet above the bottom of the sewer gravel. The distribution pipe shall be 1.25" diameter HDPE or Schedule 40 PVC, and shall have 3/16" diameter holes drilled in the bottom, spaced 2 feet on centers. The end of the distribution pipe shall be capped or plugged. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 4.4 Monitor tubes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 4.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 4.6 The top surface of the cover material shall be raised a minimum of 12 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 4.7 Unless specifically agreed othe~wvise the homeowner shall be responsible for mranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas distarbed by the construction. 5.0 Inspections: 5.1 A minimum of 4 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and grading is complete. The STEP tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 5.2 The installer shall coordinate the timing of thc inspections with thc cnginccr sufficiently far in advance to ensure the availability of the engineer. TEST HOLE FLA'I-rOP TECHNICAL SERVICES 14530 ECHO ST. ANCHO RAG E, ALASKA 99516 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: Lot 16. Block 5. V~Jli Vue Estates #2 DATE PERFORMED: March 31, 1994 PERFORMED FOR: JaneErE, nann DEPTH~ (feet) 12- 13- 14- 15- 16- 18- SLOPE COMMENTS: Pt. SM Reddish sandy lomn SM Silly sand Gray, gravelly SP/GW Gravelly sand Clean, dry Sidewalls unstable ~OX. WATERLINE , '\ \- Depth to Groundwater Date No watey2alcnunterexl 3/31/94 Monitor tube dry 4/7/94 SW Medium sand Dry, Loose B.H. Clock Net Time Percometer Net Drop Date Reading Time (minutes) Reading (inches) 3/31 5 gallon presoak I2:00 I 12 PERCOLATION RATE <1 (minutes/inch) PERC HOLE DIAMETER iff' TEST RUN BETWEEN 7.5 FT AND 8.0 FT During premal%ehase of perc test 5 £allong of water2y~reAzoaJzeCJllto~erc te ' ' hfl_perc test hole 15 seconds after the water was added. The material does alf2fXd~t as SP. and there is an underlying layer of dry SW starting at I 7' BGL PERFORMED BY FLATTOP TECHNICAL SERVICES. I ~'~_~ r~,.¢~.<~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~'/ ~,/~::~ ~"~ ~ ITESTHOLE# ! ] LEGAL DESCRIPTION: DATE PERFORMED: PERFORMED FOR; DEPTH (feet) 5 6- 7- FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST Lot 16. Block 5, Valli Vue Estates #2 March 31, 1994 Jane Erbnann Pt SM Reddish sandy loam SP/SM Slightly silty sand Gi)/GM Somewhat silty sandy grovel Fluid seep iato test hole B.H. SLOPE Depth to Groundwater Date None observed 3/31/94 SITE PLAN Clock Net Time Percomotor Net Drop J Date Reading Time (minutes) Reading (inches) PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS: Test hole was abandoned after fluid frmnJlearby seepage pit began to leakJnto tim test hole. There does not appear to he euough suitable area remaining on the southeast side of the drlveway/o construct a topi a ce men t 210il~al~o~ t iD n system PERFORMED BY FLA17OP TECHNICAL SERVICES. [ ~ '~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~)f /(;~ (/~ ~/ LABORATORY TEST REPORT R&M CONSULTANTS, INC. 9101 VANGUARD DR. ANCHORAGE. ALASKA 99607 PH 907-522-1707 CLIENT/PROJECT: Flattop Technical Services TEST ON: ........... ..F.!eJ_d_S~ampl~e_l_6_.l_.5__._V_aJliVue _~2~ SOURCE: Insitu SUBMITTED BY: Client SAMPLED FROM: Testhole DATE SAMPLED: 3/94 LOCATION: #2 DEPTH: -15' BGL R&M PROJECT: 450003 LAB NO,: 4020 FIELD NO.: 1 DATE REPORTED: 4/6/94 DATE RECEIVED: 3/31/93 GRAIN SIZE DISTRIBUTION CLASSIFICATION COMPACTION 5" I i % + 10 I i OPTIMUM MOISTURE: 4" I ] % + 3 i i MAX, WET DENSITY: ..... ~;;--~ ~ % GRAVEL i____ i MAX. DRY DENSITY: 2" t T %SAND ---i-- q~'-- CORR. MAX. DRY DENSITY: 1 1/2" i i ' t % FRACTURE: ..... 1 ,~ I~ 100 i % CLAY : I METHOD: .... 314"I 95 ~_ FSV NFS i---- i NATURAL DENSITY: 1/2" i 85 ! LL I I NATURAL MOISTURE: 3/8" l' 77 I PL ii --~- ...... · --"' .... I- WEIGHT LOOSE: #4 I 59 ~ Pi i ! WEIGHT RODDED: #8 I i CLASSSP #~o I 40 i ................ ~16 ],I GRAIN SIZE DISTRIBUTION CHART ~o ?~-~---i---- ~30 , i .o ~-~" ...... ""'II """ IIIII '"~ ~40 i 11 i ~ ~o~- ,,I ,,,,,,, ~5o I ~ .......... ~ ~o,,,,, ..... I!!!! IIIiii ' ~6o~, 5 ~ .... ~ ~o,,,,,~ HIII~ = .,,,,,,'"":::" ..... ,,,,,'""'," ~so , I ~ .o111![ ,,,,,, !~1 !"ii ..... ~]o-~-i, -~-- i -~ ~ °1', ', ', ',,,,,""'I, [~ ,,,,111111,, II ...... ~, ~o,,,,, '""' ~!., =_. IIUI . ~2oo i 1.1 i ~'°111111 -'15~-i , o. . , ...... . . ,005MM ~' t ~oo ~o ~ o.1 o.o, o.oo~ I ................ GRAIN SIZE (mm) .002MM ~ TOTAL WT. TESTED: COARSE SPEC FINE I SPEC 1,660 GMS. DELETERIOUS MAT. MINUS #200 MESH SO~=T FRAGMENTS COAT & LIG, OR LT.VVT.pT. CLAY LUMPS STICKS & ROOTS FRIABLE PARTICLES ....................... ~ ............................................................ THIN'ELONGAT[D ORGANIC COLOR FINENESS MODULUS SULFATESOUNDNESS DEGRADATION VALUE ABSORPTION SPG.-BULK SPG,-BULK S,S.O, SPG,-APPARENT ORGANIC CONTENT %: L.A. ABRASION LOSS: REMARKS: Entire Sample was sieved, Tested By: DJ Checked By: DKJ GREI' ANCHORAGE AREA BOR ' GH Q Department of Environmental Quality '~ 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING ADD RESS ~ 4/~J LEGAL DESCR,PT,ON SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH M AN U FAC T U R E R -~'qd~_ ~/~ INSIDE WIDTH SEEPAGE Pit: NUMBER OF PITS __ DIAMETER OR WIDTH LENGTH DEPTH LINING MATERIAL{~-'F?7) ~' F'~'~RIB SIZE: DIAMETER BUILDING FOUNDATION'~-- ~'~'~, NEAREST LOT LINE "~O I-f- D~EPTH (~ I DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) /--~ ADDITIONAL ABSORPTION SQ.' FT. WELL: BUILDING FOUNDATION __ CESSPOOL ~ DEPTH NEAREST N E"AW;~F.~ SEPTIC LOT LINE , SEWER LIT, t~.~ , TANK OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: DIAGRAM OF SYSTEM LOT SLOPE: Form No. EQ-031 DATE APPROVED ~. G.A.A.B. GRE:ATER ANCHORAGE Area BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY pERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT - NAME OF APPLICANT INSTALLATION LOCATION INSTALLATION OF: SEPTIC TANK ~ SEEPAGE Pit /'" , DRAIN FIELD TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH COMPLET]ON DATE ANTICIPATED ., OTHER '~0 BE INSTALLED / ~ ~ ~' NOT=, THIS PERMIT 15 NOT VALID WITHOUT SOIL FINAL INSPECTION: 24 HOUR NOT~CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE SEEPAGE AREA SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE P]T SEPT]C TANK TO SEEPAGE PIT WALL SEPTIC TANK TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRA]N FIELD- WATER MAIN TO SEPTIC TANK //~) DRAIN FIELD · DRAIN FIELD · SEEPAGE PIT ~O DRAIN FIELD ~(~ C~ · SEEPAGE PiT ALSO CONSIDER AREA WELLS. E /0~'_, DRAIN FIELD ( C~ST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRiB CROSSING GAP OF EXCA.VATION 5 FEET iNTO UND[STURE~ED SOIL. C.~.S~_J_RON~[PHON PIPES ON SEPTIC TAnK AND SEEPAGE PIT 4 CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. DIAGRAM OF SYSTEM 2B-68 AND THAT THE ABOVE m GREA'[ER ANCtIORAGE AREA BOROUGH DEPARTMENT OF ENVTRONMENTAL OUAITI'¥ 3330 'C" Street .ANCHORAGE, ALASKA 99503 Case Performeo For "~9<>~ ~-~'~ ~-/~- · ~X~r~%~-~- ~ated Performed_ Legal Description: Lot ~6 Block__~- Subdivision This Form Reports Soils Log__~ Percolation Test Soil Test Mus~ Be Logged To 4' Below Proposed Seepage System Depth Feet Soil Characteristics m 9-- 10-- 11-- 12-- 13-- 14-- Was Ground Water Encountered? If Yes, At What Depth? Reading Date GroSs Time Net Percolation Rate Minute Time Depth to H20 Net Drop Proposed Ins~]~'~on: Seepage Pi[t Drain Field Depth of Inlet : Depth to Bottom ~-Pit~ Or Trenc~ Test Performed BY ~h~//~-~-~_~/~ Date Certified BY: Date: GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street ANCHORAGE, Performed For ~ ~.~~ Legal Description: Lot /[~--/ Block This Form Reports Soils Log X Soil Test Must Be Logged To 4' Depth Feet Soil Characteristics 2-- 3-- 6~ 7-- Io c~ 9m 11-- 12-- 14-- Case # ALASKA 99503 Dated Perl~ormed ~//~//~ Subdivision ~' ~ ' Percolation Tes Below Proposed Seepage System Was Ground Water Encountered? If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H20 Net Drop __k Percolation Rate Minute Proposed Installation: Seepage Pit Drain Field Depth of~ Inlet _ Depth to Bottom of Pit or Trench M · ~ -- ' ~' , --- - Test Performed BY /~.~-~ 0~, ~'~_~ Date Certified BY: Date: I/"~artment of Environmental Quality~-~ .~ater and Sewer Questionnaire Subdivision Owner's Name: Mailing Address: Questions: 1. flow many bedrooms are now in your house? 2. How many bedrooms were in the house at the time of purchase? ~-~ 3. Were the basement bedroom walls "roughed in" at the time of purchase? 4. Was the basement bathroom plumbing "roughed in" at the time of purchase? §. Did the realtor or builder inform you that you would have to enlarge the existing' sewer system if you finished the basement bedroom (s) 6. If on a public water supply, do you always have an adequate supply of water? ~ ~ / 7. Is the pressure always adequate? 9. Who was the home purchased from? OTHER COMMENTS: ~ MUNICIPALITY OF ANCHORAG~ DEPARTM[ ' OF HEALTH AND ENVIRONMEN ~L PROTECTION 825 L Street, Anchorage. Alas~ 99501 264-4720 Date Received: February 17, 1978 #1: Time 2:30~.m.\ / ~2: Time II:~ ~ ~3: Date 2-~78 Tuesday Date Insp Pr~t%A Insp _ Time Date Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Alaska Pacific Bank % Rosie Parks Mailing Address: 601 West 5th Avenue 99501 Phone: 276-3110 2. Property Owner: Mailing Address: Alan/Beverly Hill 6851 Crooked Tree Drive Phone: 3. Legal Description: Lot 16 Block 5 Valli Vue Estates Subdivision Single Family Residence: (x) Multiple Family Residence: ( Number of Bedrooms: Five Number of Bedrooms: o .Well System: Permit ~ Construction Individual Well ( Community/Public System ~ Depth of Well Well Log on File Bacterial Analysis 6. Sewage Disposal System: On-site System (x) Public Utility Permit # Installed 1973 Installer ~4~ Septic Tank Size 2~c3 Manufacturer ~ Absorption Area ~ Soils Rate /~d~ Material 7. Distan~ces: Well to Septic Tank to Sewer Line Nearest Lot line to Absorption Area Absorption Area to Nearest Lot Line ~age ~o Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 16 Block 5 Valli Vue Estates Subdivision Comments: Affadavit Attached: Disapproved: Letter Attached: ( ) Date: Date: Department Worksheet: ~T,~,-09~.-~p ~,~:o~o.~ llV~l 1VNOIIVN~]INI BOJ ION [/.6[ "]~V (,.p.~ ~.~o o~,$) --O]OIAOad ]OVB3A03 'q3NVMflSNI ON 008£ u.o..a Sa .................................... (peJjnbeJ eel o~4xe) A~]AI]30 ]VlO3dS (oBelsod snld ~05--'1i¥iAI 031.-II.L~33 ~10~ .I. dl333~1 P : MUNICIPALITY OF ANCHORAC ! Protection Department of .ealth and .nvironmenta r 825 L Street, Anchoraqe, Alaska 99501 264-4720 ' ~~uest for Approval of Individual Sewer and Water. Facilities 1. Property Owner: HILL, Alan & Beverly Mailing Address: 6851 Crooked Tree Dr. Anchorage, AK. 99507 Name of Buyer: Erkman, John, & Jane Phone: Mailing Address: Box 2, Coast Guard Dispensary Phone: FPO, Seattle, WA. 98790 Lending Institution: Mailing Address: Realtor/Agent: Mailing Address: Alaska Pacific Bank 601 N. 5th Ave. Phone: 276-3110 (Rosy Parks) Robert B. Baer - Totem Realty, Inc. 724 E. 15th Avenue Phone: 272-0571 Legal Description: Street Location: Lot 16, Block 5 Valli Vue Subdivision 6851 Crooked Tree Drive Single Family Residence: (x Number of Bedrooms: 8 Multiple Family Residence: ) Number of Bedrooms: 7 o Water Supply: *Individual Well ( ) If Individual Well, well depth If Con, unity System, name of system Public/Community System ~ ) Valli Vue Sewage Disposal System: *~n-site System ~ Public System ( ) If On-site System, date of installation: 1973 *NOTE: A well log is required on ALL wells drilled since 6/75. ** If on-site sewer system is over two(2) years old, an adequacy .test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. 3/77 February 28, 1978 To Whom it May Concern: I, the undersigned puchaser of Lot 16, Subdivision, understand that the septic test ~s acceptable for a 4 bedroom house. to not use more than 4 bedrooms, and to use downstairs as a den, family room, etc. Block 5, Valli Vue system and percolation It ~s my ~ntention the large room ' do~hn Erkmann ~ SWORN AND SUBSCRIBED BEFORE ME THIS /,,~,~~DAYCF 0\ ~..~O~H, 19-7, NOT^aY PUBUO ~.aV 00:~,t~1 oo,uN a,,,;,nL~ GREATER ANCHORAGE AREA BOROUGH ~Department of .Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received April 26, 1976 Time Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. 1. Approval Mailing Address: 2, Property Owner: Mailing Address: requested by: National Bank of Alaska Post Office Box 3-3859 Kenneth Taplett 6851 Crooked Tree Drive Phone: 279-2506 x 28 Phone: 344-9962 Legal Description: Lot 16 Block 5 Valli Vue Estates #2 Location: 6851 Crooked Tree Drive Type of facility to be inspected Single F~kmily NO. of bedrooms 4 6. Well Data: A. Type C. Construction B, Depth D, Bacterial Analysis 7. Sewage Disposal System: On-site system A. Installed B. Installer C. Septic Tank: 1, Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area · Sewer Lines Nearest lot line , Other contamination B. Foundation to seotic tank Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re' ~st for Approvaq of Individual ~'X~er & Water Facilities Le.g~l Description Lot 16 Block 5 Valli Vue Estates #2 Comments Approved ~ ~_~,~!~' Disapproved Appr~al ,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) 1. Type of Inspection: 2. Property Owner: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 -- 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES CMRO Kenneth Taplett VA FHA CONV__ Mailing Address: 3. Name of Buyer: 6851 Crooked Tree Drive Alan T. Hill Day Phone 344-9962 c/o CH2M Hill 310 "K" St. Anchorage, Ak. 99501 Day Phone 279-6491 Mailing Address: 4. Name of Lending Institution: National Bank of Alaska Mailing Address: P.O. Box 3-3859~ Anchorage, Ak. 99501phone 5. Name of Realtor or Agent: Jack Marshall-Professional Realty Mailing Address: 507 W. Northern Lights Blvd. Phone 279-2506 ex 28 279-8551 6. Legal Description: Lot 16, Block 5, Valli-Vue Estates #2 Location: 6851 Crooked Tree Drive, Anchorage, Ak. 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Septic Tank No. Bdrms. 4 Public Utility Individual If individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: If Individual, date of installation Public Utility unknown Individual (on-site) X EQ-037 (1/74) UH CCk\ L0f7 OF "HCFC -BOOR A G E- ar_ Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-123-41-000 Expiration Date: 9/1/2023 Legal description VALLI VUE ESTATES #2 BLK 5 LT 16 Site address 6851 CROOKED TREE DR Anchorage AK 99507 Current property owner(s) SEITZ JAMES JOSEPH JR &HILARY JO X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: M Original Certificate Date: 6/1/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory x Arsenic Advisory Other COSA ApprovaLJune 2022 i _ 0Z Development t � , �-.--�-��-fes-- -- - Services Department P ^ = Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On-Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-123-41 Complete legal description VALLI VUE ESTATES #2; BLOCK 5, LOT 16 Location (site address) 6851 CROOKED TREE DRIVE *ANCHORAGE, AK Current property owner(,) JOE SEITZ 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 907-529-6128 3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units Al Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: 0 Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: n Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 29 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑® Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ -�3,60 Date of Payment COSA# 05C.2-31 150 Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 g 4 Legal Description: VALLI VUE ESTATES #2; BLOCK 5, LOTV6 Parcel ID: 015-123-41 If more than 1 well and/or septic system on lot, provide separate checklist. 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) �„ Date of flow test for COS Static water ig of test ft. STEP TANK IS APPROACHING THE B. TANK DATA END OF ITS USEFUL LIFE Measured operating fluid level in septic tank 42.75 Date of pumpingfv� r r ,,,-,ref,4 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 1994 ❑ ALL standpipes present per record drawing Total measured depth from grade 1427 ft (max) Measured depth to pipe invert from grade ' ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Well production at time of test _ Water storage tank volume/ _ gallons Well disinfect .#er'coliform test? ❑ Yes ❑ No orm bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date C. LIFT STATION Eg•Required maintenance completed Age of lift station 29 years Lift station material STEEL Comments: Adequacy test date 5/12/2023 Results FE] Pass Fluid depth prior to test 0 in Water added 784 gal New fluid depth 7.75 in Elapsed time 132 min Final fluid depth 3 in Absorption rate 600+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 96 in Effective depth used 3 in Effective depth remaining 93 in Comments/Deficiencies: STEP TANK IS LIKELY APPROACHING THE END OF ITS USEFUL LIFE. COSA Checklist June 2022 E. SEPARATION DISTANCES L° -� VC 057 From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) _/ Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > (�+''" Yes if No ft es if No ft Neighboring Tank > 100' n Yes if No ft Private Se is Line > 25' [:] Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No ft olding Tank > 100' [:]Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' F-1Yesif No ft es if No ft Manure/Animal Excreta Storage > 100' Communi r ain > 75' ❑Yes if No ft nYes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No 5'+ ft Surface Water > 100' Fmil Yes if No ft Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' Water Service Line > 10' g Yes if No ft ❑ Yes if No 1 + ft Q Yes if No ft ❑ Yes if No ft Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' M Yes if No ft 0 Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *PER TED MOORE, PE RECORD DRAWING IN MOA RECORDS, THE WATER LINE AND SEWER PRESSURE LINE CROSS IT IS ASSUMED THAT THE WATER LINE DOES NOT ENCROACH UPON THE SEPTIC TANK OR THE DRAINFIELD "PER INSPECTION REPORT IN MOA RECORDS G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Gayness Engineering Group, LTD. (GEG) Phone 907-337-6179 Engineer's Printed Name Jeffrey A. Gayness Date 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 industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells 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 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 systems; 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 can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. COSA Checklist—June 2022 OF -:J-4 ...,.�.... A. Garness. v�QfP`'ed LICENSK,o 'oro{essl000 #AECC884 ������OC MUNICIPALITY OF ANCHORAGE MAN Development Service; Department Phone: 907-3,4211-7904 On -Site Water & Wasl ewater Section Fax: 907-3,x-3-7997 Lift Station/Pump Vault Maintenance Log Owne)Or street Address_ Phonk4_e1*_-'_2F_ Legal Desc. PI SegWc Tank: .Sludge level -2—inches -Purnping., required ym) -Pumping completed m_.j.'i_Q Uft eta llan. -Pump basket cleaned Effluent filter cleaned (!!7' -Control floats cleaner -Proper float settings, confirmed -Operation satisfactory Alam ftataM: -Dedicated electrical a arm circuit -Audible and visual alarm inside dwelling 4-0-nQ -Alarm system operatic in ctoj Manhole Rise -Ground water intrusio i at riser to tank connection -Ground water intrusio, i around pipe penetrations -Weep hole functional v6!,; np -Manhole lid: Func§ mal Insulated Properly Secured Y) QWer -All manufacturer requirW inspections and maintenance completed M no Comments,, A-V\ ...... V3 P rV-. ...... CLS ....... 6 . .. : ....................... — ....... ............. .............. ........................... .................................... I ................................................................ ... 1--..." ......... I .......................... . I ........................................................................ I ............ ........... I.— .. ...... Malatenano ftodde Technician i Date of maintenance 4L(0-bD')-3 A4_ Company I T se F 0, B x 1146650 Atichorale A€a,ka 91 519-665(1 c May -22-02 03t44P Bonnie Mahner S Associate (807)762.1858 P.0 i rj 1 �G 0(5 z I Z LOT 15 S Yes V ted � X11 ROCK WALL Ffa ®ONN1E MEHNER with PRUDENTIAL JACK OVE 140 WEST BENSON OLVD• ♦ 103 Ota s J pd 8 LOT 16 c ExIsTtNC, 1a ` HOuSE PTE QOM \� Jo$. b.. %�*--LIFT STATION 4j LOT 17 OIL* Mak L Davis LS -7338 t'SK V%*" s107M R Is The 0-001 "n,A"buy to *wwisa of awwow M Ms *A"+ue+N SJi M O .Nd d* am mow fM frfs awrtlN srssfrs+ar� fwf sfptt: 1S3• &-ft O mown"' KNif► M ofe..flahm WWAO i+/ fell Room M vm M .Ay A INX pW vr.*a r few INNW-bow "OvI r 6— . .... "— t SL*Wv tE*wWA : LAUX04 ft" fWrsN.f • MKE c f"N NI .0 111"M*wrKai COMMS wlw Nmks Im ,�0 k . s ab"R- AS—glt1i6.4 Qt ; M►sh 4PAM.M� friOfMltf- tut 6ESC60"Mi N R N -"" LOT 1f, BLOCK 5, -3"l VALLA VUE ESTATES UNIT NO.2 PlUiFIMPAU U 11 OF AHCftilO RAGE DEVELOPMENT SERVICES DEPARTMENT On -Site Water and Wastewater Section www.muni.org/onsite Septic Tank Advisory Certificate of On -Site Systems Approval # OSC231150 Subdivision: Valli Vue Estates #2 Block:5, Lot: 16 907-343-7904 Fax: 343-7997 The septic tank for this property is 29 years old. The average life of an asphalt coated steel septic tank is 20 years. Typical replacement costs are $10,000 or more, not including engineering, surveying or MOA permitting fees. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. -0~5 ;2 3~1 HAA# . . '1. GENERAL INFORMATION Expiration Date: - Completelegaldescdption VALLI VUE ESTATES #2; LOT 16, BLOCK 5 Location (site address or directions) 6851 CROOKED TREE DRIVE, ANCHORAGE, AK Current Property owner(s) Mailing address Lending agency 99516 DR. ERKMANN Dayphone.346-2279 6851 CROOKED TREE DRIVE, ANCHORAGE~ AK 99516 Day phone Mailing address Real Estate Agent Mailing address BETH WEISER w/PRUDENTIAL JACK WHITE Day phone 5201 "C" STREET, SUITE 200 762-3111 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class A Well Public Water System TYPE OF WASTEWATER DISPOSAL: E~ Individual On-site ~ Individual Holding tank [] Community On-site [~ [] Public Sewer U 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 registered in 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 pdvate 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.) Cer'[ificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $1,035.00 at, or pdor to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I vedfy 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 bedrooma and type of structure indicated herein. I further vedty 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 ALASKA WATER ~ WASTEWATER CONSULTANTS. INC. Address 6901 DEBARR ROAD. SUITE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Phone 337-6179 Date Englneer's Comments: In conducting this evaluation, AWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of ali wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate dudng the year, and the water usage of the family being sen/ed by the system. These conditions are outside the contra/of the eva/uator 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. AVVWC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other peraon cr party ia not authorized, nor will it confer any legal dght whatsoever. DSD SIGNATURE [,~ Approved for I~ bedrooms. Disapproved. Conditional approval for Attachments: HAP, Checklist Septic System Advisory Well Flow Advisory bedrooms, with the fllowing stipulations: ~: WATERAND : m~ .. Manitenance Agreements ~9(,/~jj} } ~'~1~v Supplemental Engineers Reo~ Other (Rev, 12J01) Odginal Certificate Date: Municipality of Anchorage Development Services Department Or-,~ts W~tsr & W~mtsr Program 4700 Sou~ Bmgaw ~L P.O. Box 196~0 Anchgxlge, AK 99519.6650 HEALTH ~UTHORITY ~PPROVAC ~HEC~LIST LegalDesc~iption: VALU VUE ESTATES l~2i LOT 16, BLOCK 5 ParcellD: 015-12-,;341 A. WELL DATA Well type CLASS A If A, B, or C provide PWSID~ 210605 Well Log (Y/N) NO Date completed Sanitary seal (Y/N) Wi~ To~l de sad to ff. C~sing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level fi. ~ g.p.m. ft. g.p.m. WATER SAMPLE RESULTS: ~ Coliform colonies/100 mi. Nitrate ctena __ colonies/100 mi. · Date of sample: Collected by: D. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL S.T,E.P. Tank size 1500 gal, Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date installed 5/94 Claanouts (Y/N) YES High water alarm (Y/N) YES Date of pumping 5/15/2002 Pumper CHUGACH SEWER AND DRAIN C. ABSORPTION FIELD DATA Date installed -~/~ Length 40 ft. p~ELOW FINAL GRN)£1 Soil rating ~tor fl=/Ixlrm) 1.2 Width 2.5 .ft. System type Grovel below pipe TRENCH 8 ft. Total depth l* ff. Eft. absorption area 640 fl= Monitoring tube YES Date of adequacy test 5/15/2002 Results (Pass/Fall) PASS Fluid depth in alosmpflon field before test 0 in. Water added 964 gal. Elapsed Time: 117 min. Final fluid depth 0 in. Any rejuvenation trealment (past 12 mo.) (Y/N & type) Now depth Absorption rate >= 600+ NONE: KNOWN If yes, give date Depression over field NO For 4 bedrooms 0 in. g.p.d. O. LIFT STATION Date installed 5/94 "Pump on' level at 4.2 in. Datum BO'I'rOM OF TANK E. SEPARATION DISTANCES Size in gallons 1500 "Pump off' level at ¢2 in. Cycles tested ;3 Manhole/Access (Y/N) YES High water alalm level at 46 .in. Meets alarm & circuit requirements?. YES SEPARATION DISTANCES FROM WELL ON LOT TO: On adjacent lots Septic tank/lift station on lot. Absorption field on lot Public sewer main ~out Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation §'+ Water main 10'+ Wells on adjacent lots 200'+ Property line 5'+ Water sen~ice line *UNKNOWN Absorption field 5'+ Surface water. 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ** 1 '+ Building foundation 10'+ Water sen/ice line ............ ~urrace water, lOO + Curtain drain NONE KNOWN Wells on adjacent lots 200'+ Water main 10'+ Driveway, paddng/vehicie storage F. COMMENTS · SEE T. MOORE DRAWING PROVIDED G. ENGINEER'S CERTIFICATION I certify that I have determ/ned through field inspec~ons and review of Munic/pal records that the above systems am in conformance with MOA HAA guidelines in effect on thie date. Engineer's Printed. Name _ JEFFREY A. GARNESS Date ~_~-," **i~WR940014 HAA Fee $ ~7~ Date of Payment Receipt Number (Rev, 12/01) Waiver Fee $ Date of Payment Receipt Number LOT 15 LOT 16 EXISTINO HOUSE SCALI LOT 17 LOT 16. BLOCK 5, VALLI VUE ESTATES UNIT NO.2 HOUSE LOT 15 5% LOT 1 $ BLOCK 5 TEST r.~ KNOLL 50%J BREAK IN SLOPE EXISTING 4BEDROOM HOUSE W. 7' SEWER GRAVEL WATERLINE KEY BOXES TRACT'B" EXISTING 1500 GAL SEPTIC TANK REPLACED WITH 1500 GALLON · STEP TANK) ".. ~ .. #1 EXISTING CONCRETE RING (TO BE PLACE) SEPTIC SYSTEM LOT17 HOUSE LOT 16, BLK. 5, VALLI VUE EST. #2 WASTEWATER DISPOSAL SYSTEM SITE PLAN FLATTOP TECHNICAL SERVICES 1 INCH - 30 FEET 14530 F. CIIO 5'TR~ET DRAWN BY TFM ANCHOP~AOE, ALASKA 99516 APRIL, 1994 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE.