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Home My WebLink AboutVALLI VUE ESTATES #1 BLK 3 LT 2Valli Vu stat s lock Lot 2 015-$22 -08 GREA,ER ANCHORAGE AREA BOR .JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPE~CTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER _~ INSIDE WIDTH MATERIAL LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY/2j'''~ GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE_ TOTAL LENGTH F OF LINES ~ NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA ,~"'''~ CTL'' SQ, FT. LENGTH OF EACH LINE DEPTH OF FILTER ~ DEPTH: TOP OF TiLE TO FINISH GRADE ~ / ~ MATERIAL BENEATH TILE_ '~ "f~q. ABOVE TILE IN. WELL:~ BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION DEPTH NEAREST NEAREST SEPTIC SEEPAGE LOT LINE SEWER LINE __ TANK , SYSTEM OTHER SOURCES DISAPPROVED REMARKS DISTANCE FROM: DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PiPE MATERIAL:~g LOT SLOPE: ~ REMARKS: DIAGRAM OF SYSTEM G.A.A.B. 'i'?F:'ii~Z OF' ::i~;O3Zl.. i:::H::'z Jd"?[x'i']'"'F,l ; '~z Ft-.tt 3::::';: TF:ENC:H :>..~.F OF -tF1E 5;EC~L, H[~,:, ~ F FI I,I :?7'r':5;TEH 1::,: 'iHE !_E!"4G'f'H ):) Z H[~:i".!:!{; :[ OhJ Z :E; 'I"I--ItE LENG'T'H ,:: Z N F'EET ) CmF THE TF;:E:Nm::::Iq OR Df;~:FI I NF' Z lEI..[;,. "ii'tiE 13, E:F:'TH OF: F:I "i'i~:EiqC:H EIR F:'IT ZZ THE [:)Zti~;f[at",!C:E E',E:I'I.qEEI",I THE :}$1_IF~tF:'I::IE:[}: OF' THE l;{ij::J:i::jil.li'-,l[::, ?tlr,,![) THE[ [3(:[TT()i"I Cfi: -FI'-IE: E:',;';',mZ:FtVf¥1'ZON ,::ZN F:EETZ:'. THERE 'i'H[;; (i~RFi',,,'[~[.. I)EI:::"FH IZ THE I'ilNIh/LIh[ Ii;:,E:F"I'H Of: Gi:;~:R',,,'EL. E:E:'FHEEN 'THE OU'I"FFILI.~. F'iF:'E FiND THE; BI3T TOH Efts. TI-lIE t~J:':',CF:I'v'F:tT Z ON ( I N FLEET). i'i 31 f',J I HUH E:, I Ei; t'I:::ff-,!IZE iE;[!:*} IdE;E::tq :ii;~:.*E:i FEiET [::'{)J;~: f:l F't:4:Z['v'l:¥1'[{ {.,.{E[.L O~i: 2Eil;~I [:'[~:[~:-!" F'O[~'. Fl F;>LIDL. IC HELl .... :~;i::'EC:XI::'iE:F:IT]:Oi"~; FINE:, CEIi'.4:~Ffl;~:LtlZ:"I'ZON F:i;id:;i:'~'l.i [!i?.r' THE hiLIh,ItC:IF:'F:ILZ"I"¢ Ol::' f:INCHCff~:F:tiDE. :i:"-': t: Fi :!: i._i_ i N:E;TF~I...L. TI-II/ Si;'¢Z-FE:hl I f',l F~CC:OR[)fftNC[E ['.1Z TH THE X:: I l..ii",tt:;:,[~:[;;:~;'['[:!l"~[::, 't"HF:FT' TIdE Edq-E:;]:TE :~;EI.'.I[EF?. ~¢"r'~JT[ZPt I"lF:l"r' I~:EQUZF~'.E E:F,I[J:ff;:GE;F'IENT "F}]i;: i" J F: '.' "t'ilFi'i' I F:ffq F'F:IhtI[.):Fff:~: Ht't'H THE F;~[E(;:!LI.*[F?.EF1E'NTff; F""F' ON-%;[TtE :'C,E.L.tEF~:Z FINE:' I F: TIq E l~C-~rtment of tlealth and Envtronmgr~-~\ Protection ' : 2516 E. Tudor Road ' Anchorage, Alaska 99507 276-2221 Ft(HLS 1,0(~ ,, IH,;ROI,ATION TE,S'II This form reports: ..... ~6ll'~-'i~g .... - ....... ~.] ...... _ Pe~b]Ti~n-.~N~. .... ~.~._.~..~ ,~ Depth Feet 12- Was groNtld walter ellcounter~d? __Z~/.cZ._._ ..... If yes, at w,ac depth? Iluadinq (Iross Time Net Time I Depth to W, atc,~, Net IJro ) ' I)ui)l,h of I )Jet ./. ~ )opt[ t( mttom ( · )1 L oK r( c ~,~ ' , 040 (()/74) Performed GREATER ANCtlORAGE AREA BOROU(m Department of Environmen[al Quality 3330 "C" Street A!]chorage, Alaska 99503 SOILS LOG PEIIO[,A~JPION TEST Legal Description:___~ This form reports: Soils log_ ~/ Percol'ation test Depth Feet 1 4- 5- 6- 7- 8- 9- lO- ll 12- 13- 14- Was'ground water 6h~o~ntered? Dste Performed_ If yes, at what depth? Reading Date Gross Ti me -z~-7of .......................... ~ ;& ~ ~z~_ _. ....................... ~,~_r_t__O ~__~_ Net Time Depth to Water Net Drop o :~:~'~" Percolation rate ~ J-?o mnute. ,Proposed installati~-n:- Seepage Pit Drain Field Depth of Inlet . ..... . ...... L._ ..................... COHHENTS: GRE~,~,--.r ANCHORAGE AREA BOFP~/UGH DEPARTMENT OF ENVIRONMENTAL QUALIT ~ PERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE: DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE Pit WALL i! / TE~/NEAREST LOT LINE. WATER MAIN DRAIN 4 INCH DIAMETER CAST I~ SIPHON PIPES ON N~ME OF APPLICANT GRea ~ ANCHOrage AREA bOR lgh 3330 "C"' STREET ANCHORAGE, ALASKA 99503 *~ ~7 ~ SEWAGE DISPOSAL SYSTEM -- APPLIGATION AND PERMIT ]NSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION Of: SEPTIC TANK TYPe AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH / ~ I 0 BE I STALLED COMPLETION DATE ANTICIPATED NOT OTHER WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REOUIRED. DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT EEPAGE ARE sysTE~I -- 7~.~6~ SEPTIC TANK TO SEEPAGE Pit WALL t SEPTIC TANK ~ SEEPAGE DRAIN SEEPAGE PIT ALSO CONSIDER AREA W WATER MAiN TO SEPTIC TANK DRAIN FIELD __, SEEPAGE F , DRAIN F INTO CRIB CROSSING 4 INCH DIAMETER CAST IRON SIPHON PIPES ON FITTED WITH AIRTIGHT REMOVABLE CAPS. ISTALLATION, CONFORM TO BOROUG~ OFt I C[ETIFY T~AT~ A~ FA~ILIA~ WlTfi THE EK~UI~KR[~TS OF GREATER ANCHORAGE ~REA ~OROUG EDINANCE NO. 2e-68 AND THAT THE AgOVE DESCRIBED SYS EM IS IN ACCORDANCE WITH ~AID CODE. Municipality of Anchorage Development Services Depsrtment Building Safety Division On-Site Water & Wastewater Program / 4700 Elmore Road P.O. Box 196650 ," ~4" Anchorage, AK 995i9-6650 www.muni.org/onsite (907) 343-7904 /' " / OF ON-SITE SYSTEIVlS APPROVAL SINGLE FAHILY DWELLING CERTIFICATE FOR A Parcel I.Do 015-322-08 1. GENERAL INFORMATION COSA# Expiration Date: Complete legal description VALLI VUE ESTATES S/D #1; BLOCK .3, LOT 2 Location (site address) 10524 MAIN TREE DRIVE * ANCHORAGE, AK * 99507 Current Property owner(s) THOMAS PANAMAROFF Day phone ,360-6165 Mailing address 10524 MAIN TREE DRIVE * ANCHORAGE, AK * 99507 Lending agency Day phone Mailing address Real Estate Agent BOB BAER W/ DYNAMIC PROPERTIES Day phone 261-7505 ., -Mailing.;, ~... dress 3111 C STREET * ANCHORAGE, AK * 9950,3 Unless. 6(herwis~irequested, COSA will be held by DSD for pickup. 2. NUMBEROF BEDROOMS: 4 3. TYPE OF wATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well [] Individual On-site · Individual Water Storage [] Individual Holding tank [] Community Class A Well · Community On-site [] Public Water System [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. · The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATE~,{ENT OF !NSPECTION BY ENGINEER As certified by my seal affixed herefo and as of the vafidation date shown below, ! verify that my investigation, based on procedures outlined in the Certificate of Qn-Site Systems Approval Guideiines for this application, shows that the on-site water supply and/or wastewater disposal &vstem is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I fuRher verify that based on the ,,,ormm~u,, obtained from,, '~'^ ,~ Municipality~,, ~ ,~,,~.,,~,,o~ ~-~ ..... files and from, '~',, ,~ ,, ~'~',~*~'~*;"'~, ,,.~,,~.,, ~,, and ,, ~ ..... ,.,,,~...,~, *~ ,, ~ on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Phone Date 537-6179 o Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments° GEG, LTD. can therefore not provide any warranty or future estimate dhow long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE ~'"'"' Approved for ~'" bedrooms. Disapproved. Conditional approval for ON-SITE ATER AND :, WASTEWATER : :' :. PROGRAM bedrooms, with the following stipulations: %.~.... ...'~"~ Attachments: '-"-' ~ Ch~.u~!ls~ Septic System Advisory Well Flow Advisory (Rev. 11105) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF 0N-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: VALLI VUE ESTATES S/D #1; BLOCK 3, LOT 2 Parcel ID: 015-322-08 WELL DATA Well type CLASS 'A' Date completed Total depth ~ Date of test Static water level ICOMMUNITY WELLI .ft. Well production Ifa, B, or C provide PWSID# 210605 Well Log (Y/N) Sanitary seal (Y/N) Wires properly protected (Y/~_~ Cased to .ft. Casing he__round) in. FROM WELL. LOG AT I.j.NSPECTION ft. g.p.m. Arsenic: ~ ug./L. Date of sample: Nitrate __ mg./L. Collected by: SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tanksize 1250 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping 6/8/20.11 Pumper. Date installed 9/29/1976 Cleanouts (Y/N) YES High water alarm (Y/N) N/A ONE STOP SERVICES ABSORPTION FIELD DATA Date installed 9/29/1976 Length 36 ft. I'BELOW EXISTING GRADEI Soil rating (g.p.d./ft2o~ 128 System type TRENCH Width UNKNOWN ft. Gravel below pipe 7 .ft. Total depth '11.0 ft. Eft. absorption area 504 ft2 Monitoring tube YES Date of adequacy test *'6/7/2011 Results (Pass/Fail) PASS Fluid depth in absorption field before test **DRY in. Water added 20.00gal. Elapsed Time: - min. Final fluid depth **DRY in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN **SEE AFl'ACHED LETrER REGARDING TOTAL DEPTH AND ADEQUACY TEST. Depression over field NO For 4 bedrooms New depth **DRYin. 600+ g.p.d. If yes, give date - D. LIFT STATION Date installed Size in gallons Manhole/Access "Pump on" level at in. "Pump off" level_e.L~ High water alarm level at in. Datum ~ Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: COMMUNITY WELLI Septic tank/lift station on lot On adjacent lots Absorption field on lot, On adjacent lots ~ ~eanout Public sewer main ~ Sewer/septic service lin~o ..---~'" Holding tank ~ent areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main 10'+ Water service line 10'+ Absorption field Surface water 5'+ 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation. 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ Water main. 10'+ Driveway, parking/vehicle storage 10'+ 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 COSA guidelines in effect on this date. Engineer's Pr~nte¢ Name Date ~/(~'/II JEFFREY A. GARNESS COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number SINGLE FAMILY FRAME HOUSE SURVEYORDERED BY: BOb BAER@ DYNAMIC PROPERTIES TIlE TNFORMAT'gON HEREON TS FOR THE USE OF LENDZNG I'NST~TUTZOIq5 5PE~FICAI I Y TO SHOW ANY CONFLZCT5 I~ETWEEN EXISTING STRUCTURES AND PLATTED LOT ITNE5 AND/OR EASEMENTS; AND 1'5 NOT TO BE USED FOR POSITIONZNG ADb1''F/:ONAL STRUCTURE5, ZMPROVEMENTS, OR FENCEL]:NES. EASEMENT5 OF RECORD, OTHER THAN THOSE APPEAR1'NG ON THE RECORD PLAT, ARE NOT 5HOWN HEREON ( UNLE55 'INb1'¢ATED) NOTE: ~ENCELZNE5 THAT MAY APPEAR ON TH1.5 DRAWD:NG ARE NOT TO 8E USED TO DETERMNE PROPERTY ~NES OR POS'/:TZON ADD1'TIONAL TN~PROVEMENTS. ANY PAV~N~ SHOWN HEREON MAY BE APPROX'/:/IAATE DUE TO EXCESSTVE 5NOW AND/OR TCE. AS-IgUILT SURVEY l" : 30' NO CORNERS SET THTS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 2~ BLOCK 3, VALLI VUE NO. 1 ANCHORAGE RECORDING DISTRICT, ALASKA~ AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISZBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE~ALASKA THIS 7TH DAY OF DUNE , 2ell. HOLT LAND SURVE'Y'ING 600 H1.GHV'ZEW DRIVE 11596, FB 14~21 ANCHORAGE,AK 99515 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS June 8, 2011 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Valli Vue S/D #1: Block 3, Lot 2; Total Depth and Adequacy Test; Mr. Poet, The existing house is served by a community well and a private septic system. Per the MOA records, the trench has an effective depth of 7 feet. During our inspection (6/7/2011) the monitoring tube was found to be a 6 inch sump (from the original installation) with a 2 inch steel pipe driven inside it. It is assumed that the steel tube was driven at some point as a repair. However, the steel tube only extends 32 inches into the effective depth. Therefore, the total depth listed on the C.O.S.A. sheet is calculated. We contacted you during our adequacy test. Per our conversation with you (6/7/2011 Jeff Poet), we introduced 2000 gallons into the drainfield over a period of 420 minutes. The liquid level never rose high enough to be observed in the monitoring tube. Based upon this data, we believe this system is functioning adequately for a 4 bedroom household. Based upon the aforementioned facts, we request that you approve a C.O.S.A. for the property in its current configuration. If you have any ot~ueSti~°ns, please contact us at 337-6179. ~r'd'frey';A./Ga~ess, P~.E., M.S. President ?;:: ...... 3701 E. Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com O=e Stop Se~¢ices, 7~<~ Old Hm%or Ave O~T 907-338-5563 F~i 907-33g-~5~ Garness EngineerLng 370i E Tudor Rd, Ste t0i Anchorage, AK 99507 Fmx = 338-3246 Item pump truck Quantity Description Job Site: 10524 Main Tree Dr pump out septic tank, approximate ] 250 gallons P.O. No. t Terms ,[ Due on receipt Rate Amount 175.00 175.00 Thaw& you for your business_ Total SITS.00 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-~650 www.ci.a nchorage.ak.us (907) 343-7904 015-322-08 Parcel I.D. 1. GENERAL INFORMATION CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Expiration Date: Complete legal description VALLI VUE ESTATES SUBDIVISION; LOT 2, BLOCK 3 Location (site address or directions) 10524 MAIN TREE DRIVE * ANCHORAGE, AK 99507 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address ERIC SACHS Day phone 346-3377 10524 MAIN TREE DRIVE * ANCHORAGE, AK 99507 Day phone Day phone Unlessotherwise requeste~ HAAw~beheldbyDSD ~rpickup. 2. NUMBER OFBEDROOMS: r 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ~] Individual On-site ~ Individual Water Storage Individual Holding tank Community Class 'A' Well i~__]~ Community On-site ~] Public Water System Public Sewer 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 private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. /Vote: Alaska Water and Wastewater Consultants,/nc. shall be paid $ O at, or prior to closing for the engineering sen/ices provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the 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 all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. NameofFirm ALASKA WATER & WASTEWATER CONSULTANTS. INC. Phone 337-6179 Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE. AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer'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 desc#bed the performance of the system under the conditions encountered at the time cf the test, and separation distances measured to readily identifiable featuraa. The operational life of ali wefts and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being sen, ed by the system. These conditions are outside the control of the evaluator of the system. SatisfactoG' test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AWWC. Inc. can therefore not provide any warranty or futura estimate of how long the system wi//continue to meet the operational roquiraments 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 or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE ~/Approved for ¢ Disapproved. Conditional approval for Attachments: HAA Checklist Septic System Advisory Well Flow Advisory bedrooms. bedrooms, with the fllowing stipulation.~;~,~'~.~,t .... .~..~,,~,: 2~-' CH SiTE '-~ S~ WATERAND : m~ ~ . WASTEWATER : · ... .... . Manitenance Agreements Supplemental Engineer's Reort Other Odginal Certificate Date: ~/?/~ '~- Municipality of Anchorage Development Services Department Building ~afety Oivblon On-Site Water & Wastewater Program 4700 60U~1 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 w~w.ct.enchomge.ak.us (9O7) ~3-7904 HEALTH AUTHORITY APPROVAL CHECKLIST LegalDescripflon: VALLI VUE ESTATES S/D; LOT 2, BLOCK 3 ParcellD: 015-322-08 A. WELL DATA Wel~ type 9VqSS 'A' Date completed IfA, B, or C provide PWSID~ 210605 WeU Log (Y/Ni Sanitary seal (Y/N) 'Wires pmpedy protected (Y/N) Total d~,~t,b n. Cased to It. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level _~- It. WATER SAMPLE RESULTS: g.p.m. Coliform colonies/100 mi. Nib'ate mgJL. Olller banf~ri= ~lu,les/1UD mi. Ar~anin- :.,§JL. Date of ~ampla: Collected by: SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL Tanksize 1250 gal. Number of camperlments 2 Foundafion deanout (Y/N) YES Depression over tank (Y/N) NO Date of'pu~plng ' 6/19/2002 Pumper ABSORPTION FIELD DATA Date installed 9/29/1978 Length ~ ~6 It. Date installed 9/29/1976 Cleanouts (Y/N) YES High water alarm (y/N) A+ SERVICES Soil rating (~or fl~/lxlrm) 128 Width UNK It. ft. Totaldepth 11 It. Eff. absorptlonarea 50~ fi= Monltodng tube *YES Depression over fielj;I NO Date of adequacy test 6/19/2002 Results (Pass/Fall) PASS For rooms System type TRENCH Gravel below pipe 7 *MT IS 2' STFFI PIPE INSIDE 6' SUMP. brr ONLY EXTENDS 32" BELOW INVERT *-1~-'.~1~.~ FOR 4 BEDROOM/ SYSTEM BUILT FOR 4* BEDROOM Fluid depth in ahsorptlon field before test 0 in. Elapsed T~me: 0 min. Final fluid depth 0 Any rejuvenation treatment (past 12 mo.) (Y/N & type) Water added 760 gal. New depth. 0 in. in. Absorption rate >= 600+ g.p.d. NONE KNOWN ff yes, give date - D, LIFT STATION Data installed "Pump on" level at SIze in gallons in. "Pump off" levgl st Manhole/Accee- (Y/N) in. High water alarm level at in. Datum E. SEPARATION DISTANCES Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO:. Meets alarm & circuit requirements?. COMMUNITY WATER Septic tank/lift station on lot Absorption field on lot On adjacent lots On adjacent lots Public sewer main Public sewer manhole/deanout Sewer I~,~ptl,,, ~,ervlce line Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absoq~tlon field 5'+ Water main 10'+ Water senrice line 10'+ Sudace water 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORP'nON FIELD ON LOT TO: Property line 10'+ Water sewice line 10'+ Curtain drain NONE KNOWN Building foundation 10'+ Sulface water 100'+ Wells on adjacent lots 200'+ Water main 10'+ Driveway. parking/vehicle storage F. COMMENI~ G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspec~ona and mvfew of Municipal records that the above systems ere in ' conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name JI:.rI-I~EY A. GARNESS Date Waiver Fee $ Date of Payment Receipt Number 10'+ LOT CORNERS FOUNDATION -- DRAINAGE ARROWS NOTES I I. ~ Il THE ~EI~NItlI~ITY OF THE iUILDgR TO VERIFy &~L ~LEVATIONI WiTH RIIPIOT TO ik~ UTILITIES, I D~I~OE. ~ROM THE R~ORDED PLAT DES~RI%IN% THAT 9ARCKk. IN%TRUMENTI R~CO~ED THtl PLAT. 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 O/L~- ~2.-"~:~ % HAA# ¥--~ 1. GENERALINFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Day phone Day phone. Mailing address Ad dress Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ 'w TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system, 72-025 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and typb of structure indicated herein. ~ further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance .with all Municipal and State codes, ordinances, and regulations in effect on the date of this ir~sPe(~tion. Engineer's signature %~~i Date DHHS SIGNATURE ~ Approved for ~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date, CC/- 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 DH HS 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 engineeCs work. 72~25(Re¥,1/91) Back MeAtY21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST A. Well Data Well type Log present (Y/N) Total depth Sanitary seal (WN) If A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller Cased to Casing height Wires properly protected (Y/N) FROM WELL LOG g.p.m. Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main AT INSPECTION ; On adjacent lots ; On adjacent lots 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 pumping Tank size / ~ '7.q'b Compartments Foundation cleanout (Y/N) x// Depression (Y/N) ~x/'~A Alarm tested (Y/N) ) '2'//5- / ~ .-~5 Pumper SEPARATION DISTANCES FROM SEPTiC/HOLDING TANK TO: Well(s) on lot h"/'~, On adjacent mots l' ~?~ Foundation To property line ~> lO Absorption field ' '~ ~ Water main/service line Surface water/drainage ~ ~ ~ 72-026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" Level at .Cycles tested Meets MOA electrical cedes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water Length ~'.¢~ ~ Total absorption area Date of adequacy test D. ABSORPTION FIELD DATA Date installed d//.~ ~ / ~/ ~ Width 0 Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Soil rating (GPD/Ft Gravel thickness Cleanout present (Y/N) Results (pass/fail) System type ' I~7~,'~''~, Total depth ~ \ Depression over field (Y/N) for "// Bedrooms ! )~'~/~,~'~~ "W After test If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot [k//~N To building foundation },~,~ On adjacent lots ~> % tP Surface water ~ ~ v~.~. - Curtain drain On adjacent lots ~'-1/',~, Property line To existing or abandoned system on lot Cutbank lq O 14 ¢ Water main/service line 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. Engineer's Name~ [,~,u~ ~ ~'~ Date HAA Fee $ ~ ~O . (J~ Date of Payment Receipt Number 72-026 (3/93)* Back Waiver Fee $ Date of Payment Receipt Number ]-i S?"UR~[LAI"~ID F'- E- 203 WEST. 15YH. AVENUE GUILE 203 ANCHGRAGE, ALASKA 99502-3904 ~907) 279-3916 LEGAL: LOCATION: OWNER: RESIDENCE: WELL: SEPTIC SYSTEM ADEQUACY TEST Lot 2 Block 3 Valli Vue Estate 10524 Main Tree Drive Eric Sachs Single Fami]y~ 3 Bedrooms Class A Water System PWSID 210605 SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: 4 Bedroom System TANK: Greer Steel 1250 Gal. One Comparts. ABSORPTION SYSTEM: Trench ABSORPTION AREA: 504 Sq. SOIL RATING: 128 INSTALLATION DATE: 9/29/76 WAIVERS GRANTED: None Required DATE OF LAST PUMPING: Isaacs December 15, 1993 DATE OF TEST: March 2t~ 1994 TEST PROCEDURE: System wab inspected and measured. Tank was found with 2.5 feet of cover and ~ith a liquid level of 47 inch- es. Trench clean out was 3 feet deep and dry. Trench 6--inch sump was 5 feet deep and dry, bottom of sump was 27 inches below trench cleanout. 1000 gallons of clean water was added to the trench cleanout. No water showed up at the sump, and no water backed up into clean- out. An additional 200 gallons were added directly to the sump. No water accumulated. TEST RESULT: This system meets the code requirements of the Health and Social Services Department of the Municipality of Anchorage. NOTE The operational life of att septic systems depends on the local soil conditions~ groundwater levels that may fluctuate during the year, and the water usage e~ the ~amily being served by the system. These conditions are eutside the control of the evaluator o~ this septic system. We can therefore not give any estimate of how long this system will ~unction saris-Factory ~or current or future occupants. All septic systems ultimately ~ail. Some systems last 15-20 years, others fail after less than 5 MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) (b) (c) Location (address or directions) Property owner ~'~ ~r Mailing Address ~/0~ ~-~ Lending Institution Mailing Address (d) Real Estate Company and Agent Address ~d'O0 ~:~ Telephone Telephone: (home) Telephone (e) Mail the HAA to the following address: (or check here [~, if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family ~. Number of bedrooms 3. WATER SUPPLY Individual Well [] Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. ~ 4. SEWAGE DISPOSAL On-site [] Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status; 72-025 (Rev. 7/88) Page 1 of 2 DEPT. OF ENVIRONMENTAL CONSERVATION 3601 C STREET, SUITE 1334 / ANCHORAGE, ALASKA 9~503 STEVE COWPER, GOVERNOR 563-6775 DATE: October 17, 1988 PWSID: 210605 To Whom It MaY Concern: According to the records on ¢ile in this o¢¢ice, the VALLI-VUE SUBDIVISION Water System is in compliance uith the State Alaska Drinking Water Regulations. Please note that departmental records indicate that the public ~ater system ~as installed prior to the 1978 implementation o¢ the Alaska Drinking Water Plan Revie~ regulations. No as-built plans have been reviewed or approved by the department, nor are any necessary. Since the system has submitted acceptable water samples on a regular basis and received a satisCactory sanitary survey evaluation by the department, the system is acceptable under the standards in e¢¢ect at the time o¢ installation. An o¢¢icial "6erti¢icate to Operate" may be issued upon receiving a complete set o¢ as-built plans° Any expansion o¢ the ~ater system aCter 1978 ~ill require plan revie~ and the issuance o¢ a "Certi¢icate o¢ Operation" permit. VEC:pkk Sincerely, Vera E. Craig Environmental tel ¢¢icer MUNJCIPALITY OF ANCHOP, AQE ENVIRONMENTAL SERVICES DIVISION MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBR[IARY 1984 ~ 343-4744 Legal Description: d,. F 1 ? 988 , R/SCEIVED A. WELL DATA Well ClasSification <~ f¢~-¢ Well Log Present (Y/N) Total Depth . .Cased to Date Completed Depth of Grouting ~if A, B, C, D.E.C. Approved (Y/N) Yield Static Water Level Casing Height Above Ground · Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: PumpSet At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) To Septic/Holding Tank on Lot To Nearest Edg~ Of Abso~'ptio~ Field on Lot To Nearest P~blic Sewer Line To Nearest Sewer Service Line on Lot ; On Adjoining Lots ; On Adioining Lot~ To Nearest Public Sewer Cleanout/Manhole Water Sample Collected by Water Sample Test Results ; Date Comments B. SEPTIC/HOLDING TANK DATA Date Installed ?/~/?¢' Size I'"gS'~,~/ No. of Compartments Standpipes (Y/N) ~' Air-tight Caps (Y/N) Depression over Tank (Y/N) N Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well ~ ~oc,' To Property Line, ~ ~o~0 ~ To Water Main/Service Line ~- ~-¢'~ To Stream, Pond, Lake or Major Drainage Course -~. ~oo ' Comments ~' Foundation Cleanout (Y/N) Date Last Pumped ~///,¢~ ~,.~. ; for ~ '~- Temporary Holding Tank Permit (Y/N) To Building FOundation /'Y' .~-~-'~,' ¢;c., To Disposal Field I.¢' ' 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test /zJ-M~C'~cx,Z¢' ~ SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ~ ~(~o ' To Building Foundation /~' Lot N, ,~, To Water Main/Service Line ;> To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments ~'~/~ ~(r~ Type of System Design 'TCe,,~o6 Length of Field Depth of Field /~' Gravel Bed Thickness '7' Statndpipes Present (Y/N) Y' Date pf, Last Adequacy ~est i Z b ; On Adjoining Lots To Cutback (if present) To Property Line ~ ,'o ' To Existing or Abandoned System on Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom'Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ._'~~ Company ,t:::: [~/'/~/ Date /O / /7 /~¢ ¢ W ¢ Engineer's Seal MOA No. 72-026 (Rev. 7/88) Back c-~ °o-'3 Receipt Waiver Fee: $ Date of Payment Page 2 of 2 MUNICIPALITY OF ANCHORAOE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 JAN 2 8 1977 REQUEST FOR APPROVAL OF IN DIVIDUAL SEWER and WATER FACILITIES RECEIVED 1. Type of Inspection: CMRO__VA FHA CONV 2. Property Owner: James R. and Kathleen S. Birkland Mailing Address: 1650 Brink Drive Day Phone: 349-5860 3. Name of Buyer: James R. and Kathleen S. Birkland Mailing Address: 4. Name of Lending Institution: Mailing Address: Pouch 7007~ 99510 5. Name of Realtor or Agent: n/a Mailing Address: n/a 6. Legal Description: 1650 Brink Drive Day Phone: 349-5860 Peoples Bank and Trust Phone:. 279-7511 Phone:. n/a Lot 2, Blk. 3, Valli V, ue Subdivision Location: 10524 Main Tree Drive 7. Type of Facility to be Inspected:. 8. Water Supply Type of Supply: Public Utility No. Bdrms. 3 Individual XX If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation Comm. Well Individual (on-site) xx ** This is a Construction-Perm. loan. 72 OO3(3/76) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received January 28, 1977 Time of Inspection Date of Inspection FOR APPROVAL OF REQUEST INDIVIDUAL SEWER & WATER FACILITIES FOR no Conv. ~. l. Approval requested by: Peoples Bank and Trust Mailing Address: Pouch 73007 Phone: 279-7511 2. Property Owner: James R./Kathleen S. Birkland Phone: 349-5860 Mailing Address: 1650 Brink Drive 3. Legal Description: Lot 2 Block 3 Valli Vue Subdivision 4. Location: 10524 Main Tree Drive 5. Type of facility to be inspected Single Family 6. Well Data: A. Type Community Depth C. Construction 7. Sewage Disposal System: A. Installed C. Septic Tank: 1. 9. Seepage Pit: 1. E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area Co Absorption area to nearest lot line No. of bedrooms 3 D. Bacterial Analysis On-site system, ~OZA~q ]~o~ B. Installer Size l.~q..%/'~ ~.,~.. 2. Manufacturer ~mo~ Absorption Area b~c/.~.' 2. Material , Sewer Lines EQ-034 (1/74) Page 1 of two pages Page 2 of two l~ages - Ke~ ss for Approval of Individual .~-'X>-r & Water Facilities Legal D~scription Lot 2 Block 3 valle' Vue Subdivision Comments Approved<~%~ C ._ Disapproved Date Approval 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 EQ-034 (]/74) Date