The URL can be used to link to this page

Home My WebLink AboutVALLI VUE ESTATES #2 BLK 1 LT 43Valli Vue Estates #2 Lot 43 Block 1 #015-341-06 Municipality of Anchorage Page 1 of 3 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: SW990398 PID Number: 015-341-06 Name: MIKE MrLTON !WastewaterSystem: [] New · Upgrade Address: 10125 MAIN TREE, ANCHORAGE, AK 99516-6731 [WEST/~AST] ABSORPTION FIELD EWEST/~ST] Phone: No. of Bedrooms: (907) 522-8876/230-9046 4 · Deep Trench [] Shalrow Trench [] Bed [] Mound [] Other LEGAL DESCRIPTION go,, ,o,.0: To,o, ~.p~ ,~m o,0~no, 0.8 o~D/Sq, n. 10.53/10.53 43 1 VALLI VUE #2 3.2/3.2 r~ 7.31/7.37 - - - O' - 0.5' r~ 60 (2 @ 50) ~ gravel wldU~: Number ef lines: plstance between WELL: [] New [] Upgrade 2.5 ~ 2I 20 .. cO~ ..~v ~_~/F~. ~. 881 SO. r~ ASTM D-3034/F-810 ~ .. TANK SEPARATION DISTANCES · Septic rq HoJd,ng · S.T.E.P. From Tank Fie~c~ Se~er Un,a 1000 - SINDLE COMPARTMENT Station Tank ANCHORAGE TANK ~ 1250 S.T.E.P. Well 100% 100% 100'+ - 25'+ Meter;al: STEEL 1000 = 1 1250 = 2 Surface wot~ ~oo'+ ~oo'+ ~oo'+ - LIFT STATION Line 5'+ '5'+ 5'+ -- -- 1250 ANCHORAGE TANK I Foundation 5'+ 10'+ 5'+ - - 42"I 42" ~-6" j j 20 OSI 05 HHF M.O.A. Rema,'-ke: * WAIVER # WR990085. BENCH MARK FINAL GRADING AND ADDITIONAL COVER OVER THE 1000 TOP OF MANHOLE LID GALLON SEPTIC TANK TO BE PERFORMED IN THE SPRING OF 2000. 99.97 l 2nd 11/2/99 3rd 1/~/2ooo ~ t~ ~ r~'~.:'"i Department of Health and Human Services approval (/0~ ~'i...~v~E-795~ ..'"~)_~ Reviewed and approved by: ~) .~//--~_~/ Y4/. ~,~7*~ Date:~-/'7-~O PERM~ NUMBER; AS BUILT DRAWING P^ROEL ,0 NUMBER: SW990398 - 015-341-06 , / ~ DBL3 7.4 ~,3 ~ / / , u~ : ~13 15.7 11.4 ~ ~ ~ ~ PHONE: (go7) 337-6179/~ (907) 338-3246 ~o~wo~:__~__~ ~, ..... 'rj;'~"7 ........ , AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE ~2~,/7,~,,,~ .......... PREPARED FOR: PHONE NUMBER: ~mx~ .m~o. (~o7) szz-..7~/~o-.o~ "~OA t..L~~-~s~ ..'".~,~ ~: o~w..~: sc~.: p~: ~-.~' .......... '.~ ~/~/~ooo ~.~.w ~ = ~o' ~ a B C ST1 2.4 12.7 -- ST2 5.8 19.6 -- DBL5 7.4 20..:3 -- DBL4 6.8 19.1 -- ST5 10.1 14.8 -- ST4 14.9 20.6 -- MH 16.2 22.2 -- k~T1 27,4 31.3 MT2 40,3 49,5 MT3 15,7 11,4 MT4 45.2 52.2 PE..~..~SE.: AS BUILT DRAWING SW990598 ' O15-541-06 ~- N~W IO00 ~LON ~ . ~ ~I~FI~ ~ I~FIF~ - ~,77 ~AS~ WATER ~ WASTEWATER CONS~T~S, ~C. ~, VALLI VUE SUBDIVISION ~2; LOT 45, BLOCK 1 PROFILE AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE MIKE MILTON (907) 522-8876/230-9046 K.D.W N.T.S. 3 OF 3 ..... · · ,C 0 · (.-- 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: Oct 25, 1999 Expiration Date: Oct 24, 2000 Permit Number: SW990398 Legal Description: VALLI VUE ESTATES #2 BLK 1 LT 43 Design Engineer: 0041 AK Water & Wastewater Consulta Owner Name: Mike Milton Owner Address: 10125 Main Tree Drive Anchorage, AK 99516-6731 Parcel ID: 015-341-06 Site Address: 010125 MAIN TREE DR Lot Size: 24542 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] SepticTank [] 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 ( 18AACS0 ). 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. 5. The following special provisions. Lot Line Waiver issued for 1' to North property line. [_L~ (~.~%~ Received By: Issued By:.~/ Date: Date: /~ - 2,~'- - Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 625 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchofa§e.ak.us October 25, 1999 Jeff Gamess, PE Alaska Water & Wastewater Consultants, Inc. 6901 De Barr Road, Siute 2-B Anchorage, Alaska 99504 Subject: Waiver Request for Lot 43 Block 1 Valli Vue Estates Subdivision #2 Waiver Request #WR990085 Parcel ID #015 -341-06 SW990398 Dear Mr. Garness: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to proper~y line has been approved. The approved separation distance is 1.0 foot. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Danie J Rot Civil Engineer On-Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Wa'iver Review Worksheet WR~ ~7~. ~ PID~ Date Received: Legal Descri~n: Engineer: ~~ ~- ~/~ ~~~~/~. Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: Points: 3. Other: Waiver is Granted: ~ List Conditions or Reasons Waiver is NOT Granted: for above: Date: Name of Reviewer Rec ~: O:q~(~) ~J~o~nt: $ //~'-'"--- Date Paid: /~' · Alaska Water & Wastewater Consultants, Inc. 6901 DeBarr Road, Suite 2B ~ Anchorage, AK - 99504 (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers October 15, 1999 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Sewer and Upgrade for Valli Vue Estates, Lot 43, Block 1 To whom it may concern: The existing 4 bedroom house is served by a private septic system and community water. The existing crib/trench system is surcharged and in need of replacement prior to obtaining a Health Authority Approval for the sale of the house. One test hole was performed on the reference property and the soils are summarized as follows. 1. SOILS: Test hole #1 was excavated on October 1, 1999 to a depth of 17 feet and no groundwater was encountered. From the top of the test hole to a depth of 2 feet was organics followed by an SM layer to a depth of 3 feet. From 3 feet to a depth of 10 feet was a SW material with some ML lenses. From 10 to 12 feet was a SP material with some ML lenses followed by a coarse SP layer to the bottom of the test hole. A perk test was performed at a depth of 6.5 to 7.0 feet and the soils perked at a rate of 7.6 min./inch. 2. TRENCH DESIGN: a. Percolation Rate: 7.6 minutes/inch b. Allowable Application Rate: 0.8 gallons/day/ft2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 750 ft2 f. Total depth: 10.5 ft. g. Effective Depth: 7.5 ft. h. Reduction Factor = N/A i. Width: 2 feet j. Length: 60 feet total (2 @ 30') k. Sand Filter: N/A RECE1VEL OCT 1 5 1999 /,AUNICIPALITY OI; ANCHC~RAGf; ENVIROIx~v~ENTAL SERVICES DIVISION 1. Effective absorption area = 900 ft2 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: The area where the proposed septic is to go slopes from east to west at 5% or less (see attached topography ds'awing). In short, there are no slope concerns. 5. LOT LINE WAIVER: We are requesting a 1' lot line waiver from the proposed septic trench to the north property line. We do not anticipate any adverse effects by the issuance of this waiver. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179. Thank you for your assistance. Sincerely, Jeffr Presi NOTE: Attached is a site plan, a design drawing, a soil log, a topography drawing, and a 4 page construction specification letter which are all part of the design package for this septic system.. LOT 18, BLOCK 3 V^LL, VUE E~. LOT 17, BLOCK 3 / VALU VUE EST. / LOT 5, BLOCK 5 VALU VUE #2 LOT 4, BLOCK VALU VUE EST. / LOT 16, BLOCK 3 VALU 'CUE EST. LOCATION OF KEY BOXES LOT 10, BLOCK VALLI VUE EST. LOT g, BLOCK 3 VALLI VUE EST. EXISTING SYSTEM LOT 44, BLOCK 1 VALU rUE EST. #2 C~E-SEPTIC AR~ -PROPOSED (SEE DESIGN~? PACE 2 OF 2) LOT 42, BLOCK 1 VALU VUE EST. #2 BEDROOM HOUSE / LOT 47, BLOCK 1 VALU VUE EST. #2 LOT 41, BLOCK 1 VALLI VUE EST. #2 LOT 46, BLOCK 1 /// VALLI VUE EST. '// 49, BLOCK 1 VALE VUB EST. #2 // LOT 40, BLOCK 1 VALU VUE EST. #2 LOT 8, BLOCK 3 VALLI VUE EST. LOT 39, BLOCK 1 VALU VUE EST. LOT 50, BLOCK 1 VALE VUE EST. #2 LOT 51, BLOCK 1 VALE VUE EST. #2 / LOT 52, BLOCK 1 VALU VUE EST. #2 LOT 53, BLOCK 1 VALU VUE EST. #2 ALASKA WATER AND WASTEWATER CONSULTANTS, 1NC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 PHONE NUMBER: (907) 522-8876/250-9046 SCALE: J PAGE: 1 = 100' 1 OF 2 DESCRIPTION: VALLI VUE ESTATES #2 SUBDIVISION; LOT 43, BLOCK 1 OF WORK: SITE PLAN PREPARED FOR: MIKE MILTEN / LOT 6, BLOCK 6 VALE VUE EST. #2 J DRAWN BY: DATE:I O/'J 1/99 K.D.W./A.C.C. / ~ / ~ ~ ADD 7.5' O~ CLAN, W~HED S~ER / ~ / ~ ~ D~NROCK. INSTALL TRENCHES ~ -~ / ~ / ~ ~ P~LEL TO SLOPE CO.OURS. ~ROPOSED 1250 GALLON ~AS~ WATER ~ WASTEWATER CONS~T~TS, ~C. ~m} P.OUK: (907) 337-6179/r~: (907) 338-324* VALLI VOE ~2 SUBDIVISION; LOT 45, BLOCK 1 DESIGN DRAWING OF SEPTIC SYSTEM UPGRADE~~~ ................. (907) 522-8876/230-9046 E-7953 ..' ALASKA WATER & WASTEWATER CONSULTANTS, INC. [SOIL LOG - PERCOLATION TEST] LEGAL DESCRIPTION: VALLI VUE #2 SUBDIVISION; LOT 43, BLOCK 1 i' ........ .........1... · ...... DATE PERFORUED: 10/1/09 /0~.~'.. IICE-'~S3 .." I~fEPTH ~ TEST HOLE ,//1 ',1~3.,._' ............. ;,~c.-,:.6.-? OW ~z~50RG LOT 44, BLOCK 1 3- ~ GP Ti-'r~-I HL VALLI VUE EST. .o%o%~ Gr"l CL ~o%72o*: GC OL ~oOo°o~ SW MH '2%*~" SP CH ~o%o"'oo SM OH 7-- io%o%o DEPTH TO ~Oo o°¢~ DATE ~%~%o GROUNDWATER ~o~o%o DRY 10/1/99 LOT ~, BLOCK 1 ,o~o%o DRY 10/11/9~ ~~~ ~// 11 ~ ~% ¢~* SP w/ ML CLOCK NET TIME WATER LEVEL NET DROP '~e%~ LENSES DATE READING ~"0 0%' TIME (MINUTES) READING (INCHES) 12--~ 10/1/9~ PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING 13 -- ~..e 1 4101 2 4131 30 1 7/8" 4 1/8" ,e~%~ 3 4131 6" ,,,e%,~ Sp (COARSE) ~%e 2" 4" 15 -- "' ~%~' 4 5:01 30 ¢~¢e~ 5 5:01 16-- ~%ee , 6 5:51 50 2 1/16" 3 15/16~ 17--~ ~.0.~. 18-- ~ ~ 19~ PERCOLATION RATE 7.6 (NIN./INCH) PERC. HOLE DIA. 6 (INCHES) 20--~ TEST RUN BETWEEN 6.5 FT. AND 7.0 .FT. COHHENTS: PERFORMED BY A~SKA WATER ~ WASTEWATER. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS WAS PERFO~ME~ IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON DEPTH TO GROUNDWATER DATE DRY 10/1/99 DRY 10/11/9~ MUNICIPALITY OF ANCHORAGE . '' r DEl.. ~,ITMENT OF HEALTH AND HUMAN SER\, .~S Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES '-/"~/-4 M O/-LI ~ A ~ ~ SEPTIC ASS0flPTION Township, R~nge, Section TI~N, '~g ~, 5~ C I ~ dr,veway,AS'BUlLTDIAGRAUlSh°wl°cah°n°lWewater boO,es, etc.) .sep csys,em, prope,lylines, lounda/,on, T~KS Material No. of CompaAmems TYPE OF SYSTEM ~TRENCH ~ BED ~ W. DRAIN ~ OTHER , f~ Depth to pipe bottom Irom ~otal depth from original grade I s0 FT WELLS g P~IVATE ~ OTHEB (Identify) ~EMA~KS: Municipal an~ 8late guJddines in effect on this d~le: 72 013 (3/85) PERMIT DA TE .I. ~ A F:'F:'L I cAIq'I": ADDFqESS: CONIA[.,~ PHONE: TOM I%ILL,,I GAIq. 10125 IflAINTREE AI'4C*HOIRAGE, AK 346'-' 1683 99516 I_..EG(~I.... DESCR :1: F': LOT: 4:]; BLOCK: 1 12hi R~]NGE: 3W L [IT S I Z E: HAX BEDRO01tS: SUBDIVISION: VAL.LI VUE ' SIECT I OIq: 14 TOWNSI.-] :~ I:': 400Cx3 (SQ. FT. (]R ACRES) Lis'Led belew are the optione available to you irl des:igning yet.u- sept:i.c syst6~m~. [.I c :~:~e the optio~h that best f:i. te yoLtr' site. DEPTH 'T'O F'II::'E BO]'I'OM (FT.) 4.0 4. O' 4.0 GI:i~AVEL DEPTH (I::T.) 7.0 (). 5 :5.5 TOTAL DEF:"I"H (F'I".) 11.0 4.5 7.5 GRAVEl,.. WI~JTH (F'T.) 2,.5 21.0 5.0 GRAVEL. LENG'I"I~I (FT.) 5(). 0 4 I,, 0 76.0 *'~' GRAVEL VOIxLJMIE ([;U. YDS,. ) 34,, 8 31.9" 56.3 ']-(~NK SIZE (GALS) 1,000,,0 -x.* 1,000.0 ~'* 1,0(]~0.() ~.* SOIL RAT]:Iq6 (SQ.F"f',, /BR) 349 284 ;549 'x-* ,:~ru..~. c.L LE:,IxlE'QI. > "~'='; ,-~ I:::"f'~ I",EQI.JiRE.:~, I IULI ].I: LE F'?LJI\-IS (NOT EX[]E:EDIIqG ""'=/~ F'T, I::.~,~.,I'-I'""'" ) · ,x-¢~ TA, NK MUS]" la.AVE AT LEAST'?'~1/,OI COMF'AF(TMIENTS I cepti¢y that." , 1,, I am f'amilJ, ar with the r'equJ:r'emer'rl:.s for' on-site sewer~_4 and wells as set ¢ortl-i b'7 'Lhe Mumicipality o¢ Anchorage (MOA) arid the State cfi' Alaska, Z wJ.L], ins'iaall the system in accerdar~ce wi'(~l"l all MOA cedes and regulations, and in compliance with the design cr, itenia o¢ thie pepmit,, I will adhere to ali MOA and SI. ate of Alasl<a pequirements for the set back distances fpem any existing well, wasteNatep disposal system on public sewerage syetem on this or any ad.jacen~:, er' near'by lot. I under'stand tha'L this perm:i..t is,-(alid For, a maximum of' ' 2 bedrooms arid any emlargement will c~qL.til-e an addit, ic]nal pep;l~it., IF A L, II::'T STA'I-I[]N IS IN~c~'f'ALL_ED IN AN AREA COVERIED BY MOA BUILDING [;(IDES!, THEN (1) AI',I EL_IECTRII]iAL [::'ERMIT AND INSF'IEC]'IOIxl MUST' BE [)B'f'AINED; (2) AEI-BUIL'TS WIM... NOT BE AF'PROVED WITHOU1- AN ELECTI:RICAL INSPECTION REF'ORT~ AND (3) TI.aR ELEC]'RICAL 3E DONE BY P, ELECTRICIAN. SIGNED DATE, 1~/2 ¢/~ .... APF'L ICANT: TCJH PERFORMED FOR: LEGAL DESCRIPTION: ~..~/ i ) ~ SOILS LOG MUNICIPALITY OF ANCHORAGE ~, DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ~ PERCOLATION TEST 825 L. Street. Anchorage. Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SLOPE DATE PERFORMED: SITE PLAN gAN, Dy ,gILT F ~DI~IYE 10 11 12 13 14- 15 16- 17- 18~ 19. 20- /, 2225-[C 25, [97l WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop I~: W~ ~-~- ~ ~ 7 ~/~ ~/~ PERCOLATION RATE ~"~ {~) (minutes/inch) TEST RUN BETWEEN '~ . ET AND ~'~ FT COMMENTS DATE: 72-008 (6/79) ~._,/ MUNICIPALITY OF ANCHORAGE ~ / O DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~ ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM A~m=m~_ INSPECTION REPORT MAILING ADDRESS LOCATION J NO. OF BEDROOMS ~ ' ' ~'ll . ]Absorotionar.a No. of,compartments ~O If HOME'DE: ~ -~ ~facturer ~ ~ ~aterbl ~caoacitg in ~allons ell , Foundation n~ PERMIT NO. I Nearest lot lin 7 ~ cpo ti e to finish g[ e ' Total ef ectivCabsorptlon ¢ ~ Materiai ben~athtile 7 ~ ' inches ~*(> ,¢¢ Crib di~e. ter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class)~j/ Depth Driller Distance to lot line PERMIT NO. ~ ,/ ~/ ~t Building foundation Sewer line Septic tank Absorption area(s) /DISTANCE TO: OTHER ~ PIPE MATERIALS ~ REMARKS 72-013 (Rev. 3/78) DEPFIR],'MENT OF NERL],'H FIND EN'¢IRONMENTF!L PRO],'ECTION ¢ 825 '"L" STREET, RNCHORFIGE, FIE. ?SJSO& , 264-4720 RPPL Z CANT LOCRT I ON LEGAL EDNFIRD S. E,'R!DOES SR~ 2,:l_.-B 344-4954 MFIIN TREE [:,RI',/E LO"f' 42: BLK t ~FILLI ',,,'UE EST. ~2 LOT S].(ZE 2E;000 SC!UFIRE FEE],' T'T'PE OF SOIL. FIBSORPTION S'T'S'f'EH IS: TRENC:H MRX!MLIM NUMBER OF BEDROOMS = 4 SOIL RFITII".!G '.'.'SC~ FT,"BR)= 200 THE REQUIRED SIZE OF THE SOIL. FIE~SORF'TIOI'.4 S'¢STEM IS: THE LENGTH DIMENSION iS 'THE LENGTH <IN FEET) OF ]''HE TRENCH OR DRFIINFIELD. ]'HE DEPTH OF FI TRENCH OR PIT IS THE DI'.'STRNCE 8ET!-,.!EEN THE SURFACE OF' THE · GROUND AND THE; BOTTOM OF' THE EXCFIVFITION (IN FEET). THERE IS NO SE],' WIDTH FOR TRENCHES. TNE GRR'¢EL DEPTH IS THE MINIMUM DEPTH OF GRFI',,,'EL BETPJEEN THE OUTFRL..L PIPE FIND THE BOTTON OF THE EXC:RVR],'ION (IN FEET). PERMIT FIF'PLtCFINT HAS THE RESF'ONSIBILIT'9 TO INFORM THIS DEPFIRTMENT DURING THE INSTALLATION INSF'ECTtONS OF' FIN'.¢ WELLS FID.I'FICENT TO THIS PROPER?r' FIND THE NUMBER OF RESIDENCES 'rHFIT THE !4ELL WiLL SERVE. BFICKFiLLtNG OF RN'T' S'gSTEM WITHOUT FINAL INSPECTION FINE:, FIPPROVFtL B'9 THIS [:,EPFIRTHENT WILL BE SUBJECT TO PROSECUTION. MINIMUM D!STFINC.'E BE'TNEEN R HELL AND AN'9 ON-SITE SEt.,.IFIGE DtSPOSFIL SYSTEM IS ±00 FEET FOR FI PRIVFITE I.,JELL OR :1.50 TO 200 FEET FROM FI PUBL. IC HELL DEPENDING UPON THE T'¢PE OF PUBLIC IdELL. M!NIHUM [:,iSTFINCE FROM Fl PRIVATE HELL TO FI PRIVATE S, EWER LINE IS 25 FEET FIND TO FI COMMUNIT"r' SE!.4ER LINE IS 75 FEET. OTHER REQU!REHENTS MFI'T' FIPPL'9. SPECIFICFITIONS FIND' CONSTF'.I..ICT!C~N DIFIGRRMS FIRE: FI',,,'FIILFIBLE TO INSURE PROF'ER INSTFtLLRTION. I CERTtF"¢ THFIT ±: t FIN FFINILIRR !.4ITFI THE REQUIREMENTS FOR ON-SITE SENERS FIND HELLS FIS SET FORTH B~r' THE MUNICIPFIL. IT'¢ OF FINCHORFIGE. 2: I HILL. INSTFILL. 'THE S'¢S],'EM IN FICC:OR[:,FINCE 1.4ITH TFIE CODES. 3: I UNDERSTFIND ],'HFIT THE ON-SITE SEWER SVS'FEH MFI'T' RE6]LIIRE ENLARGEMENT IF THE RESIDENCE IS REMODEL. ED TO INCLUDE MORE 'THAN 4 BEDROOMS. RF'F L I~NT EC, PJ~:D ~ ;ER ANCHORAGE AREA UGH · * ~,~ Department of Environmental Quality ~ 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL sySTEM SEPTIC TANK: DISTANCE .4 ~.~ ~J FROM W~-~-'~ ~r-t~I /'- MANUFACTURER INSIDE LENGTH INSIDE WIDTH MATERIAL LIQUID DEPTH NUMBER OF COMPARTMENTS / LIQUID CAPACITY /~-~'-z~ , GALLONS. SEEPAGE Pit: NUMBER OF PIT5 / . DIAMETER ~"'¢OR WIDTH /'~,/ LENGTH /~/, /DEPTH /2~/~(/ LINING MATERIAL~/g)~$!~/¢CCRI~BB size: DIAMETER DEPTH ¢ / DISTANCE FROM: WEL,"//¢"~'/ /~'¢ / ~ BUILDING FOUNDATION ~ /'/" TOTAL EFFECTIVE , NEAREST LOT LINE ~¢ /¢' ABSORPTION AREA (WALL AREA) ~'/'/~¢' SQ. FT. ADDITIONAL ABSORPTION WELL: ~/-¢/~'~c~) Z~-~' ZZJ*C~-- TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED ~ DISAPPROVED DEPTH / DISTANCE FROM: / NEAREST SEPTIC SEEPAGE SEWER LINE TANK __ SYSTEM REMARKS DISTANCES: INSTALLED BY: ~ /~2. /t-//C.~-ZZ-~,zL PIPE MATERIAL: (~.-~ S' T" .Z"/2g)/ZZ LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERM]THO. 3330 "C" STREET ANCHORAGE~ ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME Of APPLICANT '7~"4~/~c7~ "/~;r~'~ :A//~/'rE~' iNSTALLATiON LOCATION //L///~/'~/ ~- MAILING ADDRESS SEEPAGE PIT , DRAIN FIELD OTHER TO BE INSTALLED BY ~~ ~~ LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SO~L TEST "ESULTS COMPLETION DATE ANTICIPATED //~.~/_ L NOTE: THIS PERMIT IS NOT VALID WITHOUT BOIL TEST 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. SEPTIC TANK SIZE / ~ TYPE TYPE MINIMUM DI~TANCE~, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAge PIT ~-~ /~ ., DRAIN FIELD / SEPTIC TANK TO SEEPAGE PiT WALL SEPTIC TANK ~"t SEEPAGE PiT . DRAIN fielD TO NEAREST LOT LINE. ~TO SEPTIC TANK ., SEEPAGE PiT --, DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK / ~ / .. SEEPAGE PIT DRAIN FIELD SEPTIC TANK, /~/ *EEPAGE PIT TO RIVER. LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET I~TO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON S]PHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS O~ GEEATE~ ANCHORAGE AREA BOROUGH ORDINANCE NO. 28~68 AND THAT THE ABOVE DescRIBED SYSTEM IS IN AcCOrDANCE WI~H SAID CODE. DATE _~i~.,~ ~, /97~ APPLICANT'S DIGNATU * GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAl QUALITY 3330 'C" Street ANCHORAGE, ALASKA 99503 Case # Performed For T INqBB~ Legal Description: Lot N5__Block1 This Form Reports Soils Log~ Soil Test Must Be Logged To 4' Depth Feet Soil Characteristics ~N~D~ Dated Performed Subdivision V~my ~,m~ Percolation Test Below Proposed Seepage S~ystem W~ss Ground Water Encountered? If Yes, At What Depth? ~ · I i I Reading Percolation Proposed Depth COMMENTS: Date Rate Minute Installation: Seeiag~* 1 Gross Time I Net Time Depth to H20 Net Dro Pit~ Drain Field of In! t e v,,,¥. D~.,th to Bottom o~--Pit 6r Trench v~:, Test Performed BY_L__ Date Certified BY: Date: v`' -w 8910 Municipality of Anchorage On-Site Water and Wastewater Program (907) 343-7904l � 018r `7 7 C' Certificate of On-Site Systems Approval � aLg � Parcel I.D. 015-341-06' Expiration Date: 7�S 1. GENERAL INFORMATION Complete legal description Valli Vue Estates #2 Block 1 Lot 43 Location (site address) 10125 Main Tree Dr. Current Property owner(s) Dennis Lassuy & Judy Jacobs Day phone Mailing address 10125 Main Tree Dr. Anchorage, AK 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: El 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 Individual Water Storage ❑ Holding Tank ❑ Community Class A Well Q Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received b,• rtko. Date: fre) COSA to be released to the engineer,unless otherwise euested by the engineer. COSA Fee $ S2(1,C0 Q Waiver Fee $ Date of Payment -719-/c9-01 v Date of Payment Receipt Number 011,0002 Receipt Number COSA# OSCIK 130 5 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 6/28/2018 ~OF A `kk Pe AY':/P, Co,- —'— 9 rl 6. DSD SIGNATURE K System #1 Approved for V bedrooms •s1even 'annone: / 1.•• 40,11CE-8149 System#2 Approved for bedrooms �Ois7 ,. •• Disapproved 'kI�PROFFSSIO -4 Conditional approval for bedrooms, with the following stipulations: 0 of tifvC;7 G. ` . \4 0N'S��Np Gf, W PIER P-tER c '.O W PS oGR U "C:hIT C��s.‘ , l _........____....,c=:ZBy: V Original Certificate Date: 7---Yy 1 ^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 S 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 Block 1 Lot 43 Parcel ID:015-341-061 A. WELL DATA Well type A If A, B, or C provide PWSID#210605 Well Log (Y/N) 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 Septic/S.T.E.P. Date installed 1/3/2000 Tank size 1000* gal. Number of Compartments 1 Cleanouts (Y/N) Y Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) Y Date of pumping 7-3 -18 Pumper ik''( A444 -6 Clack* C. ABSORPTION FIELD DATA Date installed 11/2/1999 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.8 GPD/SF System type Deep Trench Length 60 (2 @ 30) ft. Width 2 5 ft. Gravel below pipe 7.31/7.37 ft Total depth 10.53 ft. Eff. absorption area 881 ft2 Monitoring tube Y Depression over field N Date of adequacy test 8/10/2017 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 12/25 in. Water added 455 gal. New depth 24/38 in. Elapsed Time: 1440 min. Final fluid depth 3/14 in. Absorption rate >= 450+ g.p.d. N Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date D. LIFT STATION Date installed 1/3/2000 Size in gallons 1250 Manhole/Access (Y/N) Y "Pump on" level at 42 in. "Pump off' level at 42 _in. High water alarm level at 46 in. Datum 42 Cycles tested 2 Meets alarm&circuit requirements? Appears 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 50+ Wells on adjacent lots 100+ F. COMMENTS There are two drainfields serving this property. PES Tested the drainfield installed in 2000. G. ENGINEER'S CERTIFICATION �3.oF Acote,kk I certify that I have determined through field inspections and j Cb.- �4` y;�� review of Municipal records that the above systems are in 0*:49 •• A , conformance with MOA COSA guidelines in effect on this date. % \ Q • " 0 Engineer's Printed Name Steven Pannone r ':�}even R. 'annone: Al 6/28/2018 ��'g�, CE-8149, ./ Date r *Fi? • AQ 4 1 COSA canary sheet_2-6-15.doc MUNICIPALITY OF ANCHORAGE Development Services Department __ Phone: 907-343-7904 On-Site Water &Wastewater Section Fax: 907-343-7997 Lift Station/Pump Vault Maintenance Log n�} Owner f) 4/Ay J-0,6. £L Street Address ) o I o� J/ / "'a 1' / Ti e Septic Tank: 907'.' -1x77 'Sludge level D inches -Pumping: required vesno 'Pumping completed es n Lift station: 'Pump basket cleaned no •Effluent filter cleaned es no 'Control floats cleaned no •Proper float settings confirmed 0 no -Operation satisfactory es no Alarm System: -Dedicated electrical alarm circuits no 'Audible and visual alarm inside dwelling es no 'Alarm system operation satisfactory not satisfactory Manhole Riser •Ground water intrusion at riser to tank connection es 4014 'Ground water intrusion around pipe penetrations yes 0 -Weep hole functional no •Manhole lid: Functional d no Insulated *. r_ o Properly Secured C no Other -All manufacturer required inspections and maintenance completed CYC no Comments: 4 S o � T)!(5 f r'/v1G ALL 6y51- .d.,(45 F((-4f c- I-(o/r i/1/ cuv r (0( J 14/ riot f 11 Lg_ Qualified Maintenance? r Provider: 6': �7 1 Technician /t 4V ye Date of maintenance (-ems [ F Company AT6 ft, pJ /t/ & . Signature Date , NY Mailing Address: P.O. Box 196650 " Anchorage, Alaska 99519-6650 * www.muni.org o Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ to closing for the engineering services provided. STATEMENT OF INSPECTION BY ENGINEER at, or pdor J 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 bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ALASKA WATER &: WASTE'WATER CONSULTANTS. INC. Phone Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504. Engineer's Printed Name JEFFREY A. GARNESS. P.E. Date 337- 6179 Engineer's Comments: In conducting this evaluation, AKWWC, 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 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 teat results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKWWC, 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 person or party ia not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE Approved for F Disapproved. Conditional approval for Attachments: HAA Checklist Septic System Advisory Well Flow Advisory bedrooms. bedrooms, with the fllowing stipul.a~.~ _t~...* .- '~ : WATER -- ~ ~ASTEWAT~R 2 ..... Manitenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: Municipality of Anchorage o.' Development Services Department Building Safety Division · ' On-Site Water & Wastewster Program ~ 4700 South Brag=aw St. P.O. Box lg6650 Anchorage, AK gg519-6650 W111~v. Ci.andlorag~ t SlLU~ (9O7) ~.3-7904 Legal Description: A. WELL DATA Well type CLASS Date completed Total de~h Date of test Static water level HEALTH AUTHORITY APPROVAL CHECKLIST VALLI VUE ESTATES S/D ~2; LOT 43, BLOCK 1 Parcel ID: 015-541-06 IfA, B, or C provide PWSlD~t 210605 Well Log (Y/N) Sanitar~ seal (Y/N~ 'Wires property protected (Y/N) Cased to It. Casing height (above ground) in. FROM WELL LOG AT INSPECTION WATER SAMPLE RESULTS: Coliform colonies/100 mi. Arsenic: mg./L. g,p.m. fl. g.p.m. Nitrate rngJL. Other bacteri~ Date of sample: Collected by: 9al~, d,~/I 0U mi. SEPTIC/HOLDING TANK DATA *SINGLE COMPARTMENT PLACED BEFORE A 1250 GALLON STEP TANK Tank Type/Material Tank size '1000 gal. Foundation cieanout (Y/N) YE~ Date of pumping 8/5/2002 C. ABSORPTION FIELD DATA STEEL Number of Compartments 1 Depmssinn over tank (Y/N) ~0 Pumper Date installed 1/3/2000 Cleanouts (Y/N) YES High water alarm (Y/N) YES McDONALD'S Data installedlO/2S-11/2/19998oil rating ~--~.~/~r ff~odrm) 0~8 Length 60 (2 O 50)It. Width 2.5 It. Totaldepth !o.5 +/-it. Eff. absorption ama 681 ff~ Monitoringtuhe YES Date of adequacy test 6/2/2002 Results (Pass/Fail) PASS Fluid depth in absorption field before test 0 in. Water added 998 gal. Elapsed T~me: **27 min. Final fluid depth 32.25/21 in. Absorption rate >= 600+ Any rejuvenation trea~nent (past 12 mo.) (Yin & type) NONE KNOWN If yes, give date **TRENCHE5 FlU.ED TO ONLY 38~ AND 257~. DUAL SYSTEMS ON PROPER'~Y System type DEEP TRENCH Gravel below pipe 7.31/7.37 fi. Deprassinn over field.,, NO For, ,.,'1- bedrooms New depth33.5/22.5 in. g.p.d. D. UFT STATION Date installed to/~-It~/tm Size in gallons 1250 "Pump on' level at 42_, in. 'Pump off' level et 42 in, Datum BOTTOM OF TANK Cycles tested ,3 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Se,.~r lo.puc sorvice line Manhole/Access (Y/N) YES High water alarm level at 46 in. Meets alarm & circuit requirements? YES On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Ge SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Sudace water 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line '5'+ Building foundation 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+. Water main 10'+ Driveway, parldng/vehicte storage 10'+ COMMENTS *WR990085 ENGINEER'S CERTIFICATION I certify that I have determined through field inspections end roview of Municipal records that the above systems ere in conformance with MOA HAA guidelines in effect on this date. Engineers Pdr)te~ Name JEFFREY A. GARNESS Date Fee $ -- Date of Payment ~/~/O~-- Receipt Number ,,~3~ I q (Rm,. 12~01) Waiver Fee $ Date of Payment Receipt Number PM ~2 I hereby certify tha~ 'I h.~e s~ ~chm~e ~ yemen~ ~lt~t~ ~nes and ~ not ]yin~ ndjn~nt~ thereto, e~y ly~g a~n~nt the~o ~u~on ~d that ~ ~ no lines o~ o~er v~ible e~m~ts on ~d ~ ~dlent~ hereon; ~' -..~.~' ~ted at ~chotage. ~nska . . t -'r AUG-08-02 12:4? PM P. 01 • v; • • - • ,L •• .Ig.,.., = , f`t .., ..N..:,"'Jai_ i_. ..- .+.1 `q ./ i'14.--P-r..• i ti • Q .5.,,,, iEiLt • 1.:. ... • • or5°_. .... . .. ...._....;_..:itt....t, :i• '114-;(.i.46.4 ,-.i•-- \ • i • • 5 . •' l •-i r`.•., .Se fic •vents . ...._.._� ,�/ -.,.»-44,,F;.`. • ti t z ,; op" ....., v :;?. . •.t..:11r- ": ........ .i'lei. T}- 46's 0 �Oati 'O' ft • M 10 •<; . .4. •I•„ : 1 : 1, IT ":./ ---12:-4-°131-1. .- '‘.:ei:NI. .: r ••I•".;...:_.: .1:1.-...4.'4141 )1' •— y>� j '•if- l --i . � �1 . - . •- • •... ••/: 4 :4 144 • /,‘.1.,. ....L-L,. _V ~+il,+ E , '. _ ... . • �-ECE.PTie' 7c�•76 V -5 / 8•/-02� -,._(' . r"••'`• - • 3 ._ k, t• '• - •��titi�� • AS`BU/‘r lie Garlick s_ �' ,, '- _. '.' . • . ' - a,••�'OF Ai `` I hereby certify that I have surveyeth thei-•-•::14-1-•:- x`1t•_••-•1. ,� w . 0It 'yC� 't -el ',.•s .••• described property. .. : . . :...: ,;iE-i-t± ..I •_:.:.. •_:.'_. .••~y ••Y 1tr /e r q`, Bl ez-4,4, .••.i - _ J L_.;;u�,. --; ' :49TH~- /[i Pile * ; '�1.t i ..►.:.r l��l UE E•S7'",•4�f3 -s'/N�It" - s' t...�, Anchorage Recording :Precinct, . .. ...i... .,...: f ' • t t • V improvements situated !hereon art,. 'y�, ? '' •„a".ti:' .i r 13 ; NO 3255.5 ;�4� lines and eio not overlap of cn. ' *1, •?~ ,v� t i,., 1i •• •.4•a,: lying adjacent•thereto, that no • .•• L .� ' ,' 11. -- , ': • lses 0-e.. ••••SQ:.: ertqueystion and thattthere are no ••' wars'...-1: ' 1f • NSI «KD�.r lines or other visible easements on said Is. • . ..,-• ( )411`„`�•� as Indicated hereon: • _ — ----� F' ''� '' `N CR Dated at Anchorage. Alaska 1.; 'h 'r _' r �. . . ' this f9/, (lay of ✓Q?y4�,y ' yA Ifl t I..; 15 , d/e;f '¢QEASE.N.N15 .....•. 7` 4 FRED WALATKA & ASS0gATL3. -. ;11•:r • w t '. most. SLUE REi ARD, °III” 1NA.y Engineers and Surveyors ....:'''' FIAT�trf j sH°w i".E REcoRDEA fe 71•42. ,.. Parcel I.D. # 015-341~06 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA # CONDITIONAL HEALTH AUTHORITY APPROVAL 1. GENERAL INFORMATION Complete legal description Lot 43; Block 1; Valli Vue Estates #2 Location (site address or directions) Property owner Mailing address Lending agency Mailin. g address Agent 10125 Main Tree Drive Address Mike Milton 10125 Main Tree Drive Anchorage, AK Day phone Anchoraqer AK Day phone Day phone 230-9046 99516 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual well Community well xx' 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 xx 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, I/91) Front MOA#21 5. STATEMENT OF INSPECTION BY ENGINEER-' As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage fi!es and from my investigation and inspection, the on-site water supply and/or wastewater disp0sa~n~,ateC~mpli~a)qce with all Municipal and State codes, ordinances and regulatioW~j~f~l~l~/~ I~,spection. Name of Firm Address Engineer's signature REQUEST A CONDITIONAL HE~T~ FINAL GRADING ;~ND ADDITIONAL BE PERFORMED IN THE SPRING OF 2000. 15 JUNE, 2000 ei~ ~'~0ad,,~/ Phone_ 377'-'~[ '/9 ~//~/ ~rf~.-'~ Date. ~ [ORIT¥ APPROVAL DUE TO WINTER CONDITIONS, ~VER OVER THE 1000 GALLON SEPTIC TANK WILL WORK TO BE COMPLETED NO LATE THAN 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 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 engineer's work. 12q~5(Rsv. 1J91) ~sck MOA~21 Municipality of Anchorage ~ewoH~NVo00~ ~JC)LAII1VdlglN~~ DEPARTMENT OF HEALTH & HUMAN SERVICES---- Environmental Services Division 825 L Street, Room 502- Anchorage, Alaska 99501- (907)~;~D ] ~ Health Authority Approval Checklist Legal Description: VALLI VUE ESTATES ~2: LOT 45, BLOCK 1 Parcel I.D.: 015-341-06 A. WELL DATA Well type C[ ~ "A" Log present [Y/N) Total depth FROM WELL LOG Date of test Static water level If A, B, or C, attach ADEC letter. ADEC water system number 210605 Date completed ~ Casedto ~~~asi~gheight(above ground) Well production // WATER SAMPLE RESULTS: Coliform Nitrate B. SEPTIC/HOLDING TANK DATA Date installed 1./5/2000 Tank size Wires t~roperly protected (Y/N) Foundation cleanout (Y/N) YFR AT INSPECTION g.p.m. ~ria Collected by: * SINGLE COMPAI~MENT pLACED BEFORE ^ 1250 GALLON STEP TANK, '1000 Number of Compartments 1 Cleanouts (Y/N)_ YES Depression (Y/N) NO High water alarm (Y/N) NO Date of Pumping N~-W Pumper C. ABSORPTION FIELD DATA Date installed 10/~/QQ--~ ~/~/Q~ Soil rating (g.p.d./ft2 or fF/bdrm) 0.8 System type TRENCH Length ~3L~L30~Width 2,5' Gravel thickness below pipe 7,31/7.37 Total depth 10.53' Effective absorption area ~R~ qq ~T Monitoring Tube present (Y/N) YFR Depression over field (Y/N) NO Date of adequacy test ~w Results (Pass/Pail) For .~-----~-~edrooms Fluid depth in absorption field before test (in.~ed (in.): FJuid depth ~ (ins) ~ Absorption rate = g.p.d. ~months) (Y/N) If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed 10/28/99 - 11/2/99 Size in gallons 1250 Manhole/Access (Y/N) YES "Pump on" level at* 4-2 .... Pump off" level at* ¢2" High water alarm level at* 4.6" *Datum BO'i-FOM OF TANK Cycles tested NEW E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: COMMUNITY WELL Septic/holding tank on lot On adjacent lots/'~'~' Absorption field on lot ~lots _ Public sewer main .~"~ Public sewer manhole/cleanout .wicCl~m e Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water main/service line 10'+ Surface water/drainage 100'+, Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line '5'+ Building foundation 10'+ *WAIVER i¢WR990085 Water main/service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage area 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ F. ENGINEER'S CERTIFICATIOy /~ ..:~ ~,,~i!~%%.~ ~,, I certify that~de 't~igqCY/~ ~field inspections and review of Municipal recor~t.~.~aJ~.¢ ;'.~r,s are /// / Engineer's Na~ ' ~ JEFFR~ A. CARNESS ~Z~ ........ .~ Date //'~/~00 'V~'%V~E-7~5' ." ¢~ HAAFee $. ~)'~ Dateo, 'ayment Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* MUNICIPALITY OF ANCHORAGE [)EPARTMENT 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 HAA# ~c~ \ ~ ~E~- \ j'J-'J-'J-'J-'J- 1. GENERAL INFORMATION ~3_~ Complete legal description Valli Vue ~2, Lot 43 Block 1 Location (site address or directions) 10t25 Ivia~n ~Pr~ Dr~v~ Aochc)raga Property owner Mailing address Lending agency Mailing address Agent Address Richard Drumheller Day phone 564-6426 10125 Main Tree D~ive, Anchorage, AK Northland Mortgage Day phone 2605 Denali. Suite 100. Anchoraqe, AK 99503 Kathy Fernandez/Vista Realty Day phone 621 W. Dimond Blvd., Anchorage, AK 99515 274-5150 344-9603 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. 4 N NOTE: Individual well Community well X Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site X Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEG attesting to the legality and status of system. 72 025 (Rev. 1791) 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 Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~,.~lp River Rngine~ring ,g~'m'ir~e,S Phone__6c)4-%195 Address P.O. Box 773294, Eagle River, AK 99577 Engineer's signature DHHS SIGNATURE X Approved for '¢¢ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: 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 er analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 ' 6 1991 RECEIVED A. WELL DATA Well Classification Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: ~/~/// //'~ ~>~ ,-/~ ,~/,e / Date Completed Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) If A, B, C, D.E.C. Approved (Y/N) ~f._'__.__ Yield ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole __ ; Date B, SEPTIC/HOLDING TANK DATA ,7',-~., 2%---~- Date Installed /¢',2~/~/~'/Size /~/~ No. of Compartments Standpipes (Y/N) /Y Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) //6 Foundation Cleanout (Y/N) "~ Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well ~',,z~z,' To Property Line ~/~/~- / To Water Main/Service Line /'/~" To Stream, Pond, Lake or Major Drainage Course To Building Foundation To Disposal Field .zs- Comments 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Width of Field :~ t Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test Type of System Design Length of Field ,~' ? / Depth of Field /? z Gravel Bed Thickness ~ Statndpipes Present (Y/N) Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ~_2~, ~ To Building Foundation ~"~'" To Water Main/Service Line ,~" ' To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line /'~" To Existing or Abandoned System on ; On Adjoining Lots r',~¢ / To Cutback (if present) "-"/"~ 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 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 inspection. Signed Company Eaflle River fin~j.~,er~r~ ~-~ Date ~/-~,/'~,' Eagle River, AK O: ~?' ~94~5195 MOA NO. of this Date of Payment ~'-~'~'/ Waiver Fee: $ Amount: $ //~ ~ Date of Payment 72~26 IRev. 7/88) Back Page 2 of 2 SENT BY:Xei'ox Telecop[e~ ~/021 ; 6- 5-91 ; 3:01P~t ~ 9072734280~ DEP'I'. OF ENVIRONMENTAL CONSERVAFiON ANCHORAGE DISTRICT OFFICE ~ '. 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 WALTER J, HICKEL, OOVE~NOR 563-6775 June 5,1991 FOR: Eagle River Engineering Services Louis A, Butera PW$1D ~ My review of the records on file in this office reveals that the valll Vue Subdivision Class A Public Water System, Is In compliance with the provisions of 18 AAC 80.060, State of Alaska Drinking Water Regulations. Slncer'ely, Keven K. Kleweno Lead Engineer Eagle River l ngineering Services A 11940 Business Blvd, Suite #205 P,O. Box 773294 694-5195 Eagle River, Ak. 99577 Fax 694-3297 Legal: J~r ~-~ ,,x'/~/ z./~/I.' ~ ~ Owner: ~-~4./wee Da[e: Type of test: D Well .Flow Test ~SepUc Tes~ Only U Well & SepUc Test D Other:. Meter Monitor Well Tank GPM PSI Remarks Time Reading Level Level Level I~ :57 ~3~ 7~.5 1:17 ~.~ 77.7 ~/~ ~ H:BS~ ~ 7~" MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF iNSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) . Location (address or directions) (b) Applicant Name_~ Applicant Address (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other [] (explain); (d) Lending Institution Telephone Address {e) Reap Estate Company and Agent (f) Address Telephone Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family~ Multi-Family Number of Bedrooms Other WATER SUPPLY Individual Well~ Communit~ Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE ~)ISPOSAL Onsite,~ Public [] Community [] Holding Tank [] Note: If com munity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal sys[em is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. _ . NameofFirm ~ ~ Telephone Address / Engineer's Seal DHEP APPROVAL Approved ' ../~ Disapproved Conditional Te, rms of Conditional Approva~ CAUTION The Muncip~lity of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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, Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 /ViUNICIPALi~¢ OF ANCD'~ORAG~. DEPT. OF HEALTH & EFWIRONMENTAL PROTECT/ON Legal Description: /~-O'T' /'~, I ~/L)~-* WELL DATA Well Classification Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electriqal Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results If A, B, C, D.E.C. Approved (Y/N) Date Completed Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date Comments SEPTIC/HOLDING TANK DATA Date Installed/¢7~?/¢o°/ Size IOOb -t..BoO No. of Compartments / ~ / Air-tight Caps (Y/N) ~// Foundation Cleanout (Y/N) Ix"/ Date Last Pumped I O/~'V/~'-~ ; for Temporary Holding Tank Permit (Y/N) Standpipes (Y/N) Ok~ Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well .,'). ,2,(~::, ¢'~ To Property Line ~' i ~- ~ / To Water Main/Service Line ~ / 0 Course Comments .To Building Foundation ~ '~,~' L/ 500..) TO Disposal Field ~5~ CJ~ ~o~ ,~ ~. To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ,/¢~.~/ ~ //¢&z.~ Width of Field ~ / Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well ~,~ To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line / To Existing or Abandoned System ; On Adjoining Lots ,,~ ~,O To Cutbank (if present) ~'~/O ,,~ ,~--~- Comments D. L..S.A.,O. IxIoN - Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, ¢f~conformed to all M CA and HAA guidelines in effect on the date of this inspection. Compan~-¢~~ MOA No. ~ ~ ~ ~--O / [ Receipt No.. ~ ~ ~ ~ "~ ¢~ Amount: $ ( O ¢ ~ ~- .l~ "'L "~ Engineer's Seal ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 SEPTI C SYSTEM ADEQUACY TEST LEGAL: LOCATION: OWNER: RESIDENCE: WATER SYSTEM: LOT 43. BLOCK 1, VALLI VUE 10125 MAINTREE THOMAS MULLIGAN SINGLE FAMILY, FOUR BEDROOMS COMMUNITY WATER SYSTEM SEPTIC SYSTEM: DATE OF PUMPING: FROM MUNICIPAL RECORDS: TANK: GREER STEEL, INSTALLED OCTOBER 1973 GREER STEEL, ONE COMP. 500 GAL INSTALLED SEPTEMBER 1981 ABSORPTION SYSTEM: CONCRETE CRIB AND TRENCH ABSORPTION AREA: 648 FOR CRIB, 480 FOR TRENCH SOIL RATING: 200 PER OLD SOIL LOG, 349 PER PERC TEST OCTOBER 21, 1985 INSTALLATION DATE: OCTOBER 1973 AND SEPTEMBER 1981 ONE COMP. 1000 GAL. NOT PUMPED DATE OF TEST: OCTOBER 21, 1985 TEST PROCEDURE: WATER LEVEL IN SUMP WAS MONITORED FOR 90 MINUTES. THE HOUSE WAS EMPTY AT THE TIME, SO NO WATER WAS ADDED TO THE SYSTEM. THE WATER LEVEL DROPPED 2/8 OF ONE INCH EVERY 20 MINUTES. AFTER 90 MINUTES WATER WAS ADDED TO THE TRENCH TO BRING THE WATER LEVEL BACK TO THE LEVEL AT THE BEGINNING OF THE OBSER- VATION. ADDING 20 GALLONS OF WATER CAUSED THE LEVEL TO RISE 1 7/8 INCHES RESULTING IN A COMPUTED ABSORPTION OF 8 GALLONS PER HOUR OR 192 GALLONS PER DAY. ON OCTOBER 18, A 15 FOOT TESTHOLE WAS DRILLED 20 FEET AWAY FROM THE TRENCH. THIS HOLE SHOWED SANDY AND GRAVELY SOILS THROUGHOUT. NO FREE WATER OR SATURATED SOILS WERE OBSERVED. THE HOLE WAS LEFT OPEN AND CHECKED ON OCTOBER 22. NO WATER WAS SEEN. A PERC TEST WAS PERFORMED ON OCTOBER 22. A PERCO- LATION RATE OF 40 MINUTES TO THE INCH WAS FOUND. THIS PERCOLATION RATE TRANSLATE INTO A SOIL RATING OF 347 SQ. FT. PER BEDROOM, SUBSTANTIALLY HIGHER THAN THE 200 RATING USED TO DESIGN THE ORIGINAL SYSTEM AND THE UPGRADE. BASED ON THIS REVISED SOIL RATING AN ABSORPTION AREA OF ~396 SQ. FT. IS REQUIRED THE EXISTING TRENCH PROVIDES 480 SQ. FT. AN ADDITIONAL AREA OF 916 SQ. FT. IS REQUIRED. THIS CAN BE ACCOMPLISHED BY INSTALLING A TRENCH 57 FEET LONG WITH 8 FEET OF SEWER ROCK. DEPT. OF ENVIRONMENTAL CONSERVATION BILL SHEFFIELD, GOVERNOR 7'elephone: (907) Address: ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 274-2533 DATE: 10-25-85 PWS I.D.# 210605 To Whom it May Concern: According to records on file in this office the Valley View Subdivision Water System is in compliance with the State Drinking Water Regulations Sincerely, isor INSPECTION APPOINTMENTS DATE DATE DATE I NSPECTO,~.H ¢.~ INSPECTOR INSPECTOR DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTio~NVIRONMENTALF PROTECTION 82" L Street-Anchorage, Alaska 99501 00T ~ 3 1981 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 R E C E i V E D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten (10) days for processing, 1. PROPERTY OWNER PHONE MAILING ADDRESS PROPERTY RESIDENT (If different frm~ above) PHONE 2, BUYER PHQNE MAILING ADDRESS 3. LENDING INSTITUTION PHONE 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS ~ One ~ Four ~ SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ,~ COMMUNITY since June 1975, For wells drilled prior to that date, give well [~] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM /~ INDIVIDUAL/ON-SITE** ' '(~ f YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev, 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY 2, WATER SUPPLY [] INDIVIDUAL [] COMMUNITY PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified [~eptic Tank or [] Holding Tank Size://~O If Tank is homemade give ~4.~n s: /# ~ ..... TYPE OF TANK NUMBEROFBEDROOMS [~] ONE [~] THREE [] FIVE: [] TWO [~ FOUR [] SIX /- PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER OTHER DATE INSTALLED IN~TA4-LER - SOILS RATING MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELLTO: Absorption Area to nearest Lot Line Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line 5. COMMENTS ~PPROVED FOR /-~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE 72-010 (Rev. 6/79) MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI[~T, Of: HEALTH & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION ~jIjN ~ 3 1981 Telephone 264~4720 ^...ovA. or ,.D.v, uAL WATE. DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. ___PROPERTYOWNER ' PHONE r MAILING ADDRESS ,.~p ~( _~1~/ PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAI LING ADDR ESS 3. LENDING INSTITUTION I PHONE MAILING ADDRESS PHONE 4. REALTOR/AGENT MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION /~ f z ~" i',9,,~ / ,d NUMBER OF BEDROOM.~o0' S. TYPE OF RESIDENCE [] One Jl~ ur [] Other__ [~ SINGLE FAMILY [] ,~.t~wo [] ~ [] MULTIPLE FAMILY ~'~'~'rhree [] Six 7. WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. A well log is requ'ired for all wells drilled ~ COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTI LITY **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72~10(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE BECEl VED I NSPECTI ON APPOI NTM ENTS TIME TIME TIME DATE DATE DATE INSPECTOR ~SPECTOR NSPECTOR DIRECTIONS: 1, TYPE OF RESIDENCE [] SINGLE FAMILY ~ MULTIPLE CAMII_Y 2, WATER SUPPLY INDIVIDUAL COMMUNITY PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -S[Tli E~ PUBLIC UTI LITY Connection Verified E~Septic Tank or [] Holdi[~g Tank Size: /¢~0'~ If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE ~ TWO [] =OUR [] SiX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATEINSTALLED INSTALLER SOILS RATING MANUFACTURER MATERIAL Septic/Holding Tank Absorption Area Sewer Line [] OTHER Lot Line 5. COMMENTS FOR 4--7 "EDRO91S [] CONDITIONAL APPROVAL ( citer mu~t/cco.~panv [] DISAPPROVED DATE I certificate) 72-010 (Rev. 3/78) REPLY ~FORMI, 4S 472 SEND PARTS 1 AND 3 WITH CARBON INTACT PART 3 WILL BE RETURNED WITH REPLY. DETACH AND FILE FOR FOLLOW-UP ALASKA erlUlROIqmerlTAL COrlTROL ~nclineefin~ & ~nuironmenlc~l Sludi~s SeRUICeS, II1C. 7/2/81 MUNICIPALITY OF ANCHORAGE DEPT. OF ;!],'LTi[ & ENVIRONMENTAL ~: C:i'ECTION JUl_ 8 1981 RECEIVED J L HALMAN 500 W INTERNATIONAL AIRPORT RD ANCHORAGE AK 99502 SELLER - J L HALMAN SUBDIViSION-VALLEY VIEW #2 BLOCK-1 LOT-43 THE TYPE OF ABSORPTION SYSTEM ]~ A PIT WITH AN AREA OF 648~SQFT. THE SYSTEM ]~ CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER_DAY. THE SOILS RAT]I~G OF THE SYSTEM AT COnstRucTION WA~S 250 AND NOW ~ 216 SQFT/ BEDROOM. BASED UPON THE TEST DATA THE SYSTEM ~ ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEP~C TANK WAS PUMPED ON 6/27/81 . ~ .OF ~:.,-.' , 1220 UJest 25t}~ Aucnu¢ · Anchora% Alaska 99503 · [907) 276-1361 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMEN~ OF HEALTH AND ENVIRONMENTAL PROTECTION June 26, 1981 J.L. Hallman Star Route A Box 31V Anchorage, Alaska 99507 Subject: Lot 43 Block 1 Valli Vue Estates Subdivision #2 Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) (2) The septic tank pumped with a receipt submitted to this office. An adequacy test needs to be p~rformed on the existing leaching are~. This test~will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. ThL~/ report needs to be submitted to this office for our review. If there are any further questi6ns, please call this office at 264-4720. Sincerely, Robert C. Pratt R.S. Associate Specialist RCP/ljw CC: Marry Plunkett % Marston Real Estate 2804 West Northern Lights Boulevard 99503 #1: Time Date Insp ~UNICIPALITY OFf;ANCHORAGE ENVI RONMENTA~. iROTECTION DEPARTMENTN-~: HEALTH AND 825 L Street, Anchorage. Alask~~99501 264-4720 Date Received: 1~15 a.m. Time ~_~_~ /,)~J #3: Time ~ #2: 3-~ 78 ~ j~c~ Date ll~) '~ f~,~3 Date 7at Insp nsp February 27, 1978 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Jack White Company, Elliot Lawson Mailing Address:3201 C Street, Phone: 277-1553 Property Owner: Mailing Address: Sanford R. Vanderhyde Star Route A Box 31V 99507 Phone: 349-1459 3. Legal Description: Lot 43 Block 1 Valli Vue Estates #2 Subdivision 10125 Maintree Drive 4: Single Family R~sidence: (x) Number of Bedrooms: Three Multiple Family Residence: ( ) Number of Bedrooms: Well System: Permit # Construction Individual well (:=~:) Community/Public System (x) Depth of Well Well Log on File Bacterial Analysis ( ) e Sewage Permit $ Septic Tank Size Absorption Area Distances: Well to Septic Tank to Sewer Line Nearest Lot line Disposal System: On-site System (x) Public Utility Installed 1974 Installer ~/~) Manufacturer Soils Rate Material to Absorption Area ( ) Absorption Area to Nearest Lot Line P~ge ~wo ~ Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 43 Block 1 Valli Vue Estates #2 Comments: Affadavit Attached: ~ : Letter Attached: ( ) // Disapproved: __ __ ~ Date: __ __ u\ Departmen~ Worksheet: {~.~ ~ March 27, 1978 R&M No. 851512 Mr. Sanford VanderHyde SRA Box 31~ Anchorage, Alaska 99507 Attention: Sandy VanderHyde Subject: Adequacy Test on Existing Sanltary Sewer System; Lot 43, Block 1, Valley View Subdivision, Anchorage, Alaska Dear Mr. VanderHyde: At your request of March 22, 1978, we conducted a test of the septic system on the above described property. During this test the liquld level in the septic tank was monitored as water was added to the system. The measurements are summarized in the following table: Liquid Level Below Top Total Gallons Time of Standpipe Added 10:10 5.35 25 lO:21 5.25 75 10:30 5.10 125 10:35 5.00 150 10:55 5.15 150 11:15 5.25 150 11:30 5.35 150 The meter used during the test was a Rockwell 5/8" standard water meter which had previously been calibrated by R&M Consultants, inc. If the 3 bedroom residence on the property is to house 6 people, the average load on the system can be expected to be 450 gallons per day or .31 gallons per minute. During the test, the system accepted 150 gallons in 85 minutes. This indicates an average effluent acceptance r~te of approximately 1.8 gallons per minute at the time of the ~est. Because the house on the lot is occupied, we assume that the leachf[eld was at its normal degree of saturation. We can therefore conclude that the system is disposing of effluent at an adequate rate for a 3 bedroom residence. March 27, 1978 Mr. Sanford VanderHyde Page -2- We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this test or if we can be of additional service. Very truly yours, R & M CONSULTANTS, INC. L~ne Kosikows~ Staff Geologisk~ Jim McCaslin Brown, Ph.D. Head, Earth Science Dept. LK/JMB/gld MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 Attn: Laura Harrison DEtI . Sewer/Water REQUEST FOR APPROVAL OF INDIVIDUALSEWERand WATER FACILITIES 1. Type of Inspection: CMRO. VA FHA CONY xxxx 2. Property Owner: Mr. & Mrs. Sanford R. Vanderhyde Mailing Address:SRA Box 31 v, Anchorage AK 99507 Day Phone: 349-1459 3. Name of Buyer: Not yet sold Mailing Address: Day Phone: 4. Name of Lending Institution: Deliver report results to owner Mailing Address: see above Phone: see above Name of Realtor or Agent: Jack White Company/ Elliot Lawson 99503 Mailing Address:3201 c Street, Anchorage, AK ~Thone: 277-1553 6. Legal Description: T, ot 43. Block 1. ~allivue #2 Location: 10125 Maintree Drive (on rt. side of Maintree, just before you get to Crooked Tree Drive .... home sits back off the road approx. 125 feet) 7. Type of Facility to be Inspected: Sinqle-family Residence B. Water Supply ....... Vallivue Community Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: If Individual, date of installation No. Bdrms. __1 ndividual n/a n/a Public Utility Individual (on-site) approximately 1974 .... 3 plus playroom XXXXXX 72-003(3/76) Maroh 22~ 1978 Sanford R. Vanderhyde Star Route A Box 31V Anchorage, Alaska 99507 Subject: Lot 43 Block i Valli Vue Estaeee Subdivision Temporary approval may be granted on the above subject property, if monies are escrowed to have a percolation test run a~d a~o monies escrowed in the event the test fails and an upgrade is required. The percolation test must be completed by July 1, 1978 and if an upgrade is needed it must be completed by August 1, 1978. If an upgrade is required, it would include: thirty-eight (38) foot of trench, two(2) to four(4) foot wide, ~ith six(6) foot of gravel below the drainpipe. Prior to any upgrade, if needed, a permit must be obtained through this office. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert ~. Pratt, Sanitarian RCP/ljh cc: Elliot Lawson % JaCk White Company 3201 C $~reet ' 99503 March 10, 1978 Sanford Ro Vanderhyde Star Route A Box 31V Anchorage~ Alaska 99507 Subject: Lot 43 Block 1 Valli Vue Estates ~2 Subdivision The percolation test run on the subject property failed to pass the adequacy test. Therefore, this department can not issue an approval until an upgrade of the syst~ is completed. The upgrade would include: th~-ei~ht(38} feet of trench, two(2) to four(4) feet wide with six(6) feet of gravel below the perforated pipe. Temporary approval may be granted, if monies are escrowed so that the upgrade can be completed during the 1978 construction sea~on. A permit is required from this office prior to any construction. ' If there are any further questions, please contaet this office at 264-4720° Sincerely, Robert C. Pratt~ Sanitarian C /ijh Eltiot Lawson % Jack White Company 3201 C Street 99503