HomeMy WebLinkAboutVALLI VUE ESTATES #1 BLK 1 LT 33Valli Vu
Estates
Block !
Lo1' 33
#015-322-05
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP231214 PID Number: 015-322-05
Dwelling: FQ1 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑® Upgrade
Name
THOMAS HOWARD
ABSORPTION FIELD
❑ Deep Trench ❑® Wide Trench ❑ Bed ❑ Mound
Site Address
10505 MAIN TREE DRIVE *ANCHORAGE, AK
❑ Other
Phone
Number of Bedrooms
Soil Rating
depth from original grade
907-223-9383 777
3
1.2 GPD/SF
JTotal
10 MAX Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
SEE DWG. Ft.
Gravel depth beneath pipe
4 Ft.
Subdivision Block Lot
VALLI VU E ESTATES #1; BLOCK 1, LOT 33
Fill added above original grade
SEE DWG. Ft.
Gravel length
40 Ft.
Township Range Section
N/A
Gravel width
5 Ft.
Beds: Number of Lines
-
Distance between lines
- FL
SEPARATION
DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
400 Ft2
1
12'+ Ft.
Well
-
_
_
_
_
TANK 0 Septic ❑ S.T.E.P. I] Holding ❑ Other
Manufacturer
INFILTRATOR
Capacity
1530 Gal.
surface Water
100'+
100'+
_
_
Material
Number of compartments
Lot Line
10'+
10'+
-
-
NA
PLASTIC
2
Foundation
* j 0'+
10'+
-
_
LIFT STATION
Manufacturer
Capacity
Remarks *5'+ TO DECK (2ND STORY) POST
Gal.
Alarm location
Electrical installed by
PIPE MATERIAL House to tank EXISTII\ Tank to D3034
drainfield
Installer
ARM SEPTIC SERVICES
Drainfield D1785 CO/MTD3034
Inspector GEG AND M.O.A.
BENCH MARK (Assumed elevation) 99.59 it
Inspection ectio1� 8/22/2023 2nd 8/22/2023
Location and description
3r' 8/23/23 4'h 8/23/23
TOP OF M H 1
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
�pQ�OQ�O
OF q
Conditional Approval: Date
o 9��4
o a T;
Q f
Septic
J r y` Go, ess:
OQO�sf✓
Approvedstem Date ZJZ
CE -795.3--aco�OO
Note: this approval does not include well requirements.
4 W11100000a�84
permit
#Arc
tmev uoruu-its)
IN
PERMIT NUMBER: PARCEL ID NUMBER:
OSP231214 015-322-05
EXACT ORIENTATION AND LOCATION OF EXISTING
SEEPAGE PIT IS UNKNOWN; CONTRACTOR
EXPOSED 5' FROM TANK AND 12' FROM NEW
DRAINFIELD TO CONFIRM ADEQUATE SEPARATION
NEW IM -1530 INFILTRATOR SEPTIC TANK
10 UTILITY EASEMENT
v.,i�
MT1 vt 411--
DBUS. OST1
L.1 'r't ora
1T.H.#1
NEW DRAINFIELD —�
CONTRACTOR EXPOSED
AND CONFIRMED 12'+
BETWEEN TRENCHES
� G,O
. d.
e
4
EXISTING 3
BEDROOM HOUSE
KEYBOX LOCATION PER AS -BUILT SURVEY
N
S
1"=30'
AW
♦�
Tr
*. ..4 �t1......... * 0
u
ENGINEERING � SALES �- CONSULTING 0 � ° 0
3T3i 8 E 3LMOP ROAD,...SUITE 108 • ANC1?iF3iA-- ALASKA `F&iCW- L'SO7) n7-6179 `W BSITE. .. t'.�.......,��. .............�.�'..
PREPARED FOR. PHONE NUMBER: PAGE NUMBER. I Cin % �.frey A. Garness�rc/
THOMAS HOWARD 907-223-9383 2 OP 3 �0 x/-7 53
Aw
PROJECT/LEGAL DESCRIPTION: DRAWN BY: F % b �2 3Aw
VALLI VUE ESTATES 1: BLOCK 1, LOT 33 E3-J.G. �j� FQ ''p•�.��,t,.... „,�,�P�, �4V
TYPE OF WORK: DATE: LICENSE,,�1A,;SS\ ��•
SEPTIC SYSTEM UPGRADE RECORD DRAWING 91612623 #AECC88a
B
A
DBL1
73.8
16.0
DBL2
73.5
16.2
MH1
72.8
16.7
ST1
71.3
22.2
DBL3
71.4
26.1
DBL4
71.6
26.9
FD
74.3
34.6
C01
106.5
76.6
MT1
107.1
78.6
CO2
93.8
88.5
MT2
92.5
87.9
SWING TIES
WERE DERIVED IN
AUTOCAD AND DRAWN FROM THE
.DWG PROVIDED BY THE SURVEYOR
I
EXACT ORIENTATION AND LOCATION OF EXISTING
SEEPAGE PIT IS UNKNOWN; CONTRACTOR
EXPOSED 5' FROM TANK AND 12' FROM NEW
DRAINFIELD TO CONFIRM ADEQUATE SEPARATION
NEW IM -1530 INFILTRATOR SEPTIC TANK
10 UTILITY EASEMENT
v.,i�
MT1 vt 411--
DBUS. OST1
L.1 'r't ora
1T.H.#1
NEW DRAINFIELD —�
CONTRACTOR EXPOSED
AND CONFIRMED 12'+
BETWEEN TRENCHES
� G,O
. d.
e
4
EXISTING 3
BEDROOM HOUSE
KEYBOX LOCATION PER AS -BUILT SURVEY
N
S
1"=30'
AW
♦�
Tr
*. ..4 �t1......... * 0
u
ENGINEERING � SALES �- CONSULTING 0 � ° 0
3T3i 8 E 3LMOP ROAD,...SUITE 108 • ANC1?iF3iA-- ALASKA `F&iCW- L'SO7) n7-6179 `W BSITE. .. t'.�.......,��. .............�.�'..
PREPARED FOR. PHONE NUMBER: PAGE NUMBER. I Cin % �.frey A. Garness�rc/
THOMAS HOWARD 907-223-9383 2 OP 3 �0 x/-7 53
Aw
PROJECT/LEGAL DESCRIPTION: DRAWN BY: F % b �2 3Aw
VALLI VUE ESTATES 1: BLOCK 1, LOT 33 E3-J.G. �j� FQ ''p•�.��,t,.... „,�,�P�, �4V
TYPE OF WORK: DATE: LICENSE,,�1A,;SS\ ��•
SEPTIC SYSTEM UPGRADE RECORD DRAWING 91612623 #AECC88a
PERMIT NUMBER: RECORD DRAWING PARCEL ID NUMBER:
OSP231214 015-322-05
TH#1
TOP OF MH1 = 99.59 ---
.X—
FINAL
-
FINAL GRADE = 98.65-99.17 �L y �-
MW F� � Sl Gov�SZ
ST1
TOP
ATINLET TANK 95.01 2 CONTRACINSULATITOR PER
TOR
J AT OUTLLET TANK 95.01
INVERT OF BUNG
AT INLET = 94.41
IM -1530 2 -COMPARTMENT
INFILTRATOR SEPTIC TANK
ORIGINAL GRADE AT
HIGHEST POINT = 93.35
RELATIVE ELEVATION AT BOTTOM OF T.H. = 76.85
(T.H. DRY ON 8/22/2023)
FINAL GRADE = 92.59-94.77
TER FABRIC
INVERT OF
PIPE = 87.35
BOTTOM OF
TRENCH = 83.35
INVERT OF BUNG
AT OUTLET = 94.18
AV
. �
.
ARNES > E INEERIN(il kCil
1.JP Ltd
... ... ....
ENGINEERING.y SALES CONSULTING (fy ••••..•...
3701E TUDOR ROAD SUITE 101 'ANCHORAGE. AK 99507' PHONE (907)337-6179 - FAX (907)338-3246 'WESSIM -gamea•engineer ng.com ! •...
PREPARED FOR. PHONE NUMBER: PAGE NUMBER. f ao
J ffrey a: Hess
THOMAS HOWARD 907-223-9383 3 OF 3 0 0
♦ r-. CE 795 =AV
LEGAL DESCRIPTION: DRAWN BY: A.♦Z.��
VALLI VUE ESTATES #1; BLOCK 1, LOT 33 D.J.G.F0`••............(..... �4W
TYPE OF WORK: DATE: LICENSE,11VrEss`"'
I,, SEPTIC TANK AND DRAINFIELD PROFILE 8/30/2023 #AECC884 ���ulk ,
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP231214
Work Type: Septic Upgrade
Tax Code Number: 01532205000
Site Legal Address: VALLI VUE ESTATES #1 BLK 1 LT 33 G:2538
Site Mailing Address: 10505 MAIN TREE DR, Anchorage
Owner: HOWARD THOMAS MICHAEL &
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
Effective Date:
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
�zlent S
r
Depairtment
7/26/2023
7/25/2024
24059
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By:
u
Issued By:
Date:
Date: 20 2-- 3
3
MUNICIPALITY OF ANCUAG
Development Services Department = 5 Phone. 907-343-7904
On-Site Water & Wastewater Section --- Fax: 907-343-7997
ON-SITE SEPTIC/VVELL PERMIT APPLICATION
Parcel I.D. 015-322-05
Property owner(s) THOMAS HOWARD Day phone 907-223-9383
Mailing address 10505 MAIN TREE DRIVE *ANCHORAGE, AK
Site address 10505 MAIN TREE DRIVE *ANCHORAGE, AK
Legal description (Sub'd., Block & Lot) VALLI VUE ESTATES #1; BLOCK 1, LOT 33
Legal description (Township, Range & Section)
Lot Size
Sq. Ft.
Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field
0 Initial ❑
Single Family (SF) Q
Septic Tank
0 Upgrade 0
(w/wo AD U)
(D) ❑
Holding Tank
Renewal ❑
El Renewal
Privy
❑
Multiple Dwellings ❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
DRAINFIELD TO DRAINFIELD; DRAINFIELD TO SLOPES GREATER THAN 25% Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: J�5q5 Waiver Fees: 414 -5
Date of Payment: 2-0114 'L 3 Date of Payment:
Receipt Number: 0 7( 0 C( C Receipt Number:
Permit No. 05 P 2_?5 12 1 � Waiver No. (-) \123103
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231214, Curtis Townsend, 07/26/23
Municipality of Anchorage
___ Department
P.O. Box 196650 0 4700 Elmore Road
Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997
http://www.muni.org/Onsite
Development Services Division
On -Site Water and Wastewater Program
* * * * VARIANCE/WAIVER REVIEW * * * *
Waiver#: OSV231036 COSA#:OSP231214
PID#: 015-322-05
Legal Description: VALLI VUE ESTATES #1 BLK 1 LT 33
Engineer: Jeff Garness
Your request for a waiver of the required 16 feet horizontal separation between the proposed
absorption field and the existing one has been approved. The approved separation distance is 10
feet. Your request for a waiver of the required 50 feet horizontal separation from the septic field
to slopes greater than 25% is approved. The approved separation distance is 10'.
This waiver approval applies to the proposed absorption field. Any future upgrade to the on-site
wastewater disposal system will require all separation distances be met or another approval from
this department.
.............................. a E R N 0 N .0......200 ■ ............................. ■ 1
Waiver is Granted: X Waiver is not Granted:
Date: CO Zo 2 Approved pp ed by:
Name of Reviewer
............................................... ■ ...... 0 E K 0 0 N ... 0 K E M N N 0 N N K N 0 .. ■ 1
**** VARIANCE/WAIVER REVIEW ****
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231214, Curtis Townsend, 07/26/23
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231214, Curtis Townsend, 07/26/23
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231214, Curtis Townsend, 07/26/23
ENCROACHMENT
DETAIL
Scale: 1"=10'
Existing House
2g, 3
11
Area of Encroachment /
1.1 Sq.Ft. / / 1'4,
/
/ or,
/ /Sego
5 P09 0
<S62
*0.. 4 g —
..............................
...
c Janice M Zilko 0
�4 f LS -8629
� ao
f essiono\ _oma
LAND & CONSTRUCTION SURVEYORS—PLANNERS—ENGINEERS
440 West Benson Boulevard, Suite 200 Phone: 562-5291
Anchors e, Alaska 99503 Fax: 561-6626
Date: August 30, 2013 Drawn By. PL
Work Order: 2013—L-129 R2 IChecked By. JMZ
30'
I D
N
NI
0
N
U�
cD
Ln
M
0
L
lip
r
0
rn
Ordered BY Gary Kutil For Paul Palmer
Legal Description: AS—BUILT
Lot 33, Block 1,
Valli Vue Estates Unit No
Plat: 71-217 Scale: 1"=30'
Grid: 2538 Fb/Pg: 791/71-72
Lot 34A
Tract A
N OTE:
THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT
PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LANTECH.
SURVEY CERTIFICATION: LANTECH has conducted a physical survey of the
property as shown on this drawing and certifies that the improvements
Legend: situated thereon are within the property lines and no encroachments exist
other than noted.
1 Aspholt.:`..:(;i
Septic Standpipe SQ EXCLUSIONARY NOTE: It is the owners' responsibility to determine the
increte:..'; existence of any easements, covenants, restrictions or right—of—way
Water Well ® 9 y
erhongtakings which do not appear on the recorded subdivision plat. Under
Fence—X—X—no circumstances should any data hereon be used for construction,
Wood Deck for establishing property lines, or for plot—plan purposes.
-' Municipality of Anchorage page
· Development Sehtices Department
BuaCmcJ Safely Depa~ne~t
Ofl-~te Wate~ and Wastewatet Program, 4700 S. Br'agaw SL
P.O. Box Ig6650 Anchorage. AK 99519-6650
w~w.d.anc~orage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/O .R WELL INSPEC11ON REPORT
Permit Number:. SWO001~ .PID Numbec 015-322-05
~ ' · · · ; · · Wastewater System: New [] Upgrade
Paul Palmer ' "'
1050S Main Tree Dr. Anch;t AK 99S16 ABSORPTION FIELD
346-1.947 " . Three (3)
· LEGAL. DESCRIPTION
· . c,~o~ . ~q.
3. 33 Vallivue Estates No. 1
Well: [] New ' . [] Upgrade c,o,d,.~: n. "~"'~' I~'b~:~:~'~' '
A n., r~ . FeASTM D3034 PVC
~ .. , Acreage Syste.ms. 6/1:3/00
· --:~l*''~':'. *' ..Ic'*'e~'~''~c''''~:. TANK'
SEPARATION DISTANCES
T~To ,~aDUC Absoe~I~xaLift Hok~ing
Tank Fldd Sta~o~ Tank S*~-,U~ Anchorage Tank '1,000
w,, >200' NIA NIA >25' Steel Two
~...w.~ >1.00' >200' N/A N/A ~ / EFT STATION
~u. >5' >1.0' N/A N/A o,,
~.~ >5' >1.0' N/A N/A '
c.~=.. None Noted
~ BENCH MARK
bept~c lan~ only Replaced Under Ibis Permit. lbe
Northwest Column Fouridation Supporting Upper
--E~ist4~M~so~fltio~Ar ' ' ' e. Deck. ..
3.00.0
Inspections pedormed by: M £A Dates:
~ ,-~. CE- 4381 .~.
2
~F'R"..
- Department of Healtl~,and I-Juman Servic.es approval ·
////
Municipality of Anchorage . Page 2 of 3
D~[PARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION.
P.O. Box 196650; Anchorage, AK 99519-6650 - 343.4744
On-Site Wasl~water Dlspoeal System or Well Inspection Report
Permit Number SW000163 PID No. 015-322-05
Existing Abs
Crib
:xisting
Absorption
Trench
· Three Bedroom
Home
Paved
Cleanout.' i
, r8
S 1 24.0 30.3
S2 29.2 ~31.5
C1 19.5 30.4
C3 '31.5 32,0
' Septic Tank Only Replaced
Under This Permit...
PLAN AS-BUILT
SCALE t" ~ 40'
Municipality of Anchorage
· DEPARTMENT OF HEALTH AND HUMAN SERVICES
EHVIRONMEHTAL SERVICES DIVISION
P.O. Box 196650 - Anchorage, AK 995196650 - 343-4744
On-Site Wastewater Disposal System or Well Inspection Report
Page 3 of 3
Permit Number SW000163
PID No. 015.322-05
· To House
Septic.Tank Only Repla6ed Under
~ ~_r~_~..~x~sti~g Absorption
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: Jun 13, 2000
Expiration Date: Jun 13, 2001
Permit Number: SW000163
Legal Description: VALLI VUE ESTATES #1 BLK I LT 33
Design Engineer: 0014 Anderson Engineering
Owner Name: Paul Palmer
Owner Address: 10505 Main Tree Dr. Total Bedrooms: 3
Anchorage, AK 99516-6735
Parcel ID: 015-322-05
Site Address: 010505 MAIN TREE DR
Lot Size: 24059 SQ. FT.
Permit Bedrooms: 3
This permit Is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
construction must be In accordance with:
1. The attached approved design.
2. Ail requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of AJaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours pdor 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.
Received By: ~ ~"~~
Date:
ANDERSON .ENGINEERING
~ ' -"*P.O;BOX240773 '~ ' ~ ' ' - I"
' ' ~NCHORAGE, AK 99524 ' *~,
522 7773 '522-6779 (FAX) :
June13,2000
Municipality of Anchorage
Department of Health and Human Services
825 iL" Street
Anchorage, AK 99502-0650
Subject:
Lot 33, Block 1, Valli Vue Estates Subdivision No. 1
Septic System Design and Permit Application
Impacts to Adjacent Properties · ·
Dear Onsite Services Engineer:
The existing 750 gallon.septic tank on Lot 33, Block 1, Valli Vue Estates Subdivision
No. 1 has failed and must be replaced immediately. Sewage cannot currently pass the
tank to the absorption field and is backing into the house. It is imperative a new tank be
placed as soon as possible to prevent damage to private property and.to resolve a
possible health problem. The location of the new tank is shown on the attached Site
Plan. The subdivision is currently served by a community water system and no conflicts
exist between the new tank and water service lines In the area.
The ground surface on the lot slopes from east to west at gradual and varying slopes.
The new tank will be constructed in close proximity to the old tank in a fairly level area.
Two new post tank cleanouts will. also be constructed. Surface grading and
relandscaping will be accomplished to assure drainage is away from the new tank
location. * -
The new tank is situated on the lot in such a manner that no conflicts will exist between
the water service line or with any other wells or septic systems in the subdivision.
If the system is constructed in accordance with our design the following statements
.apply:
]. The system,' if constr~cted as designed, well have no adverse impact On the wells
in the area or those to be constructed in the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserved
space, either surface or subsurface, on any lots located in the area.
Lot 33, Block 1, Valli Vue Estates
June 13, 2000
..Page Two
The system, if constrUCted as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained..
Sincerely,
Michael E.' Anderson, P.E.
Attachments
./
SCOPE OF WORK:
1. Verify Foundation Cleanout.
2. Place Foundation Cleanout if Unfound.
3.. Remove and Dispose Existing Septic Tank.
4. Place New %250 Gallon Septic Tank According to Plan.
5. Place 2 Post Tank Cleanouts.
6. Grade Area to Provide Positive Drainage Away From Septic System.
LU
Existing Abs
Crib
:xisting
Absorption
Trench
2 New Post Tank Cleanouts
1.250 Gallon
~tic Tank
Cleanouts
· Three Bedroom
Home
Paved
SITE PLAN ......
SCALE 1" = 40'
NOTE: Lot Is Served By A Community Water System. No Conflicts Between New Septic
Tank and Water Services or Mains In the Area.
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 33, BLOCK 1, VALLI VUE ESTATES SUBDIVISION NO. 1
GENERAL:
The scope of this project includes the removal and disposal of the
existing 750 gallon septic tank. It also includes the procurement and
placement of a new 1,250 gallon septic tank at the location shown on
the Site Plan. Two new post tank cleanouts must also be placed.
Once construction is completed the disturbed area must be regarded
to pro construction condition.
Construction shall be in accordance with the approved site plan,
design drawings, 'Municipal Permit with any special provisions or
conditions, and all applicable State and Municipal Wastewater
Disposal Regulations,
The Contractor shall be rosponsible for obtaining all underground utility
locates and for the layout of the septic system and verification of the
location of all lot lines.
Unless specifically agreed otherwise, the contractor shall be
rosponsible for final grading areas subsequently deprossed from soil
settling. Property owner shall be rosponsible for revegetation of
affected aroas unless specifically agreed otherwise.
Contractors installing wastewater disposal systems must be certified
by the Municipal Department of Health and Human Services for
system installations. Owners installing their own systems must receive
prior approval from D.H.H.S. before beginning system installation.
SEPTIC TANK INSTALLATION
1. The new 1,250 gallon septic tank must be procured from an approved
source and installed at the location shown on the plans.
A septic tank is to be constructed by a certified septic tank
manufacturer. Construction shall include two 4" cleanouts for pumping
access.
3. The septic tank shall be sufficiently bedded to provent settling or
shifting of the tank.
4. All standpipes on the septic tank shall extend a minimum of 12 inches
above final grade.
5. Tanks installed without 4' of cover shall have a minimum of 2" of diroct
burial insulation.
A foundation cleanout shall be installed one to four feet from the
building foundation. Two cleanouts are required between the tank and
the drainfield.
Lot 33, Block 1, Valli Vue Est. No. 1
June 13, 2000
Page 2 of 3
7. Final grading over the tank shall be such that a positive slope exists
away from the septic tank.
DRAINFIELD CONSTRUCTION (Not This Project):
1. The drainfield shall be constructed to the dimensions shown on the
design. The bottom of the trench shall be within 2" of level.
Distribution piping must be placed level with perforations down atop a
level bed of drainfleld rock. Rock should then be placed over the pipe
to provide a minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between the drainfield
rock and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the locations
shown on the design. The portion below ground must be perforated.
Contractor shall redly the septic tank and drainfield are a minimum
100' away from any pdvate water wells in the area, 150' from a Class
"C" Well or 200' from any community well.
Direct bury insulation must be placed over the distribution system if
less than 3' of backfill depth is available, Finish grade over the trench
must be mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trenches to drain away.
o
A minimum 2' of accepting soil is required below the drainfield rock for
a 5' wide trench. Contractor shall vedfy this condition prior to
placement of the rock. All pockets of unacceptable materials must be
removed and replaced.
MATERIAL SPECIFICATIONS:
1. Septic tanks must be constructed by a municipally approved septic
tank manufacturer.
2. The following pipe materials are approved for use in septic system
installations in the Municipality of Anchorage:
Cast Iron (perforated and soTid), ASTM D3034 or P.V.C. (perforated
and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and
ASTM D2662 or A.B.S. (perforated and solid).
3. Insulation shall be at least 2" thick extruded direct burial polystyrene
(Dow Chemical Co. Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Femco, or equal).
Lot 33, Block 1, Valli Vue Est. No. 1
June 13, 2000
Page 3 of 3
5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing
the #200 sieve.
INSPECTIONS:
Municipal Ordinance requires a minimum of two inspections. These
inspections must be conducted under the supervision of a professional
engineer registered in the State of Alaska. The first inspection must be
conducted after the excavation of trenches, beds or pits and before the
installation of any gravel. A septic tank may be set in place, but may not
be backfilled.
The second inspection must be conducted after the placement of the
geotextile fabdc, gravel, distribution piping, standpipes, cleanouts and
insulation. No backfill should be in place at the time of inspection.
Contractor shall provide a copy of all field survey layout and construction
notes for use in preparing the certified as-built of the completed system.
· MUNICIPALITY OF ANCHORAGE .
J{eaW~h and Environmental Prote~ %on
Fourth Floor West
825 L Street
Anchorage, Alaska 99501
279-2511, x 224, 225
,s,i C' ,o,-REPOR; O,-S ;E S WAO mSPOSA . SYSZEM
LOCATION ~.~/~ "~1'"~ LEGAL DESCR,PT,ON, L~ % I~ I U,~II, L/,x~ E.~'.
SEPtiC TANK:
DISTANCE
FROM WELL,
MANUFACTURER
INSIDE LENGTH.
INSIDE WIDTH
MATERIAL
LIQUID DEPTH
NUMBER OF
COMPARTMEf~I'$
· LIQUID CAPACITY.__
GALLON[
TILE DRAIN FIELD:
DISTANCE FROM WELL ~'~ FOUNDATION NEAREST LOT LINE__~_~ OF LINE ~ 7
ABSORPTION AREA SQ. FT. LE~Ttt OF EACH LINE ~ j
DEPTII: TOP or TI~E TO FINISH GRA~E ~ t DEPTH OF FILTER ~ ~
MATERIAL BENEATH TILE IN, ABOVE TILE ' ~ IN.
SEEPAGE PiT, ~.~,[[ ~%
DIAMETER ~
Log Crib Rings Crib Size:
BUILDING FOUNDATION
Well --u~cO
Class: ~--°~'v Depth:,
'Well Distance To: Lot Line
B~dg: ' Sewer'~ine:
Pipe Mate-~ls: t~k~k~
% of Bedrooms:
Installer: ~%~
Remarks:
A) SQ FT.
DATE APPROVED
-x.
'~.~MUNICIPALITY OF ANCHORAGE ~
HeN/ th and Environmental Prote~ ?on
Fourth Floor Wes%
825 L Street
Anchorage, Alaska 99501
279-2511, x 224, 225
iNSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL.
MANUFACTURER ............ MATERIAL _
NUMBER OF
COMPARTMENTS
INSIDE LENGTH
INSIDE WIDTH
- LIQUID DEPTH ...... LIQUID CA, PACITY ........ GALLONS.
TILE DRAIN FIELD:
~C) ~% 0 ,,=. J' I TOTAL EENGTFI I
°,STANCE ,:ROM WELL ~ ~O~,~,O,~_~__N~,~ ~OT ~,,~_ ~ .... O~ ~,~~ 7
~ of Lines ----J ..... DISTANCE BETWEEN LINES _ N~_TRENCH WIDTHS~ I". TOTAL EFFECTIVE
ABSORPTION AREA ......... SQ. FT. LENGTII OF EACH LINE .... ~_) I
DEPTH: TOP OF TILE TO FINISIt GRA~E q L DEPTH OF FILTER ~
MATE[UAL g~NEAIH 71LE IN. ABOVE TILE ~ IN.
SEEPAGE PiT:
DIAMETER
lENGTH___,
DEPTH
Log Crib Rings
BUILDING FOUNDATION__
Crib Size: DIAMETER .... OEP-FIt _ DISTANCE FROM: WEL.[
TOTAL EFFECTIVE
NEAREST LOT LINE____ ABSORPTION AREA (WALL AREA)
SQ. FT,
Well [~o ~.~ ~
Class: Depth:
Well Distance To: Lot Line
Bldg: Sewer ~Line:
Pipe Materi~ls:
~ of Bedrooms:
Installer: [~, _,~,
Remarks: ~ k<'o_~
DATE ............ APPROVE[)
GRE(' ANCHORAGE AREA BOR/' IGH
Department of Environmental (~uality
3500 Tudor Road
Anchorage, Alaska 99507
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
D[STANCE NUMBER OF
FROM WELL~/~?/f~6U¢, MANUFACTURER ~'/(t)~C' ~J,/~'~L (~), MATERIAL~//~-¢¢ /7~)~Z: COMPARTMENTS /
INSIDE LENGTH '~= INSIDE WIDTH -- LIQUID DEPTH -- LIQUID CAPACITY. ~-~C] GALLONS.
SEEPAGE PIT:
NUMBER OF PITS ] DIAMETER _'~ OR WIDTH LENGTH~-Z~ DEPTH
LINING MATERIAL ~/~2/~ CRIB SIZE: DIAMETER~FDEPTH ~ / DISTANCE FROM:
BUILDING FOUNDATION '~ /, NEAREST LOT LINE ~ ~ TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE ~1~'~)[,~416~// CONSTRUCTION DEPTH DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION __ LOT LINE SEWER LINE TANK , SYSTEM
CESSPOOL
APPROVED
OTHER SOURCES
DISAPPROVED
REMARKS
DISTANCES:
PIPE MATERIAL:/~' (~
LOT SLOPE:
REMARKS: (~l~J.~ ¢~)f~ ~)4~,.~'5'>'~
F. P~-T ~d /~nd7f~~ ~b,
Form PW-026
DIAGRAM OF SYSTEM
DATE '-~'~ /~I ~9'7~ APPROVED /'']J2J'~'LL~A- (-~, /n~l/~:~/'"'~F-Z-~-/-~
G.A.A.B.
tzl .Pl I '1 NO
HPPL 1 LJHN t
LUL:P~ 11ON
LI£~J~:tL
~-- ~ _NtH E,J,., ~.._, -, RNL.H
Plt4iN IN:b~E DRIk"~
L-I ~.~- 6L :L vHLLI ,JE Ez, fRtE=, 'L'L)f'"S:lZ:E
I '~FE _l--:,JIL F~k,_,UF:.b I IOi',l _,'r_, Efl £~, J TRENCH
P1H~'C[MUM NUML::F_Nt OF E:Ef2ROUJ,I~i '= _,':
FHE L.E.N~3'IH L.',IMEN~ION 15 IHE Lb.N~31H q'IN FkE'l)'Ok' IHE [RP_NL:H
FHE DEPTH CIE' R INtN. NCH iZIN~ Pi]- lB' 'IHE [FI$THNCE'""E[Ef'WEEN I'HE %IJRFHCE"EIF 'IRE.
IjNUUND HNL:, IHE BLII'TUP1 EIb' /'HE EXC~',TBI'i[UN "(ZN FEEI']':
FHERE J. tz, NO ~;EI HID/'H-FOR TRENIZ:E$;. "-
THE LiNtHVEI._ E:'EPI'H [~ I'HE MINit'IIJt'I-DEF'IH OF GR'RV~E '8E'[I.4EEN'fHE UIJ]'FHE[ PiPE
HND HE BOT'I'OM UF [HE E;~;C~V~T]:UN "..-Z'N FEET';;.
H 'P¢IUI'(FIGE PLHN1 MFIY Idb .LNE,/I:II_LED H1 '/HE PERi'"Ii'T'IEE'~'B OPq~iUN ~;UBJ'EC'I" l'LI /HE
FULLOWiNG COND.[ l~iur4'..:,:
:t.. ~I/PIER H L;L. FILS'.E, i CII4~ 1J~ 'N:SF HPPNtFI'v'ED F'L:FINT 'MH~'-BE I'NS'IHLLED.
2. H UUNI.i. NUOUS MFIINtENFINCE RGREEf'IEN'I I:Ei-'REb~UIRE/). IF hl P1RiNfENFINUE
F4UNtEEfqENf ];S NOT' KEP"I C'EIRRENT- 9qJU "ivlFi9-' BE'- REI;:flJI'F,'ED ']-O ENEFIRGE-THE 2, LIIL' ..... '
FIBSURP/ .tUN 2;'¢51EM FIND/OR YUU I"IHY~BE'~;UBJEC"! f'O"PRd2;EE:OI iUN.
MiNIf'IUP1 [].z, PN_E b, EI;,4EEN 4 WELL FIND 134t ON _,i1~-_ ~E!. FII_~E [I:FO_FIL
lido FEEl FOR Fl PRIVFII"E WELL rjr 2L:~L-:I FEEi FOR ~¢1' PIJBEIE:'klE!_L;
L.il HENt REg!JiF.:EMENI'2;' i"lR'¢ FIF'F'L'~ ...... ' .....
HILHBLI: ~0 IN_URE FKLFEN IN_.IBLLFIF_rON, i
.[ CEN:¥ 1 F Y 'I-HFI I .:
:L: I FIJ"I FFIM].LJ:FIR t.,.II]'H THE F~.E~..UIREMEN b FOk, _N-=,I rE _EI. JEI:~
FORTH '~ .... , ...... ~ .... " '
b,T FHE tlLNt_.IFHL!t~ OF
~, ]: IdILL IN_ IPLL THE _,~_,IEPI IN 'FICCORDFINCE'FIi1"FI' THE
2:: I UNDERS"I'FtND 'FHFI'F' 'THE 3t;l-_ I~rE _,EklE[. Sg~;'FEM 'F1RY' REL:.~LfIRE- ENEFIRGE'f'i'E:N IF' IFtE - '
RESIDENCE ZE; REFIODELED TO .[NCLLIC, E MORE 'I'HFIN"2: E:EE:,F..:CIiZIr,is: : '
2.; I GNED: ................
I":I'-'
TM "F'
FFLI --HN I PFIUL
r"--.=A~,:..,i'ER ANCHORAGE AREA BO,~OUGH
DEPARTMENT OF ENVIRONMENTAL DUALITY
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PERMIT NO, -
· OTHER
FINAL IN~ECTION~ 24 HOUR NOTICE RI~QUIRED. BACKFILLING OF ANY SYBTI-'M WITHOUT FINAL. INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO FROBECUTION.
.~/
HEALTH AUTHORITY
OR
LICENSED DESI~N£R
DIAGRAM OF 8YBTEM
CERTIFY THAT I AM FAMILIAR WIT~ THE REQUIREMENTS OF GREATER ANCHORAGE AREA. E~OROUGH ORDINANCE NO. 28-6E AND THAT THE ALCOVE
DESCRIBED SYSTEM I$ IH ACCORDANCE WITH SAID CODE.
MUNICIPALITY OF ANCHORAGE
Development Services Departments Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Parcel I.D. 015-322-05
Certificate of On -Site Systems Approval
Expiration Date_ -� V Z
Legal description VALLI VUE ESTATES #1 BLK 1 LT 33
Site address 10505 MAIN TREE DR Anchorage AK
Current property owner(s)
THOMAS & SUSAN HOWARD
X The On-site system(s) is/are approved for 3 bedrooms
Conditional approval for bedrooms, with the following stipulations:
Comments or advisories:
M
Original Certificate Date: 9/7/2023
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services Department (DSD) issues COSAs based upon
representations provided by an independent professional engineer. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory
Tank Age Advisory Arsenic Advisory
Other
COSA Approval—June 2022
WHIG AUTY OF ANCHOR -AGE
NDevelopment Services Department Phone: 907-343-7904 ...
On -Site Water u Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 015-322-05
Complete legal description VALLI VUE ESTATES #1; BLOCK 1, LOT 33
Location (site address) 10505 MAIN TREE DRIVE *ANCHORAGE, AK
Current property owners) THOMAS HOWARD
2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS
Day phone 907-223-9383
3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units
❑ Private Well serving 3+ dwelling units 0 Community Well or Public
❑ Water Storage
4. TYPE OF WASTEWATER DISPOSAL: W Private Septic ❑ Private Septic serving 2 dwelling units
❑ Holding Tank ' J Community Septic or Public Sewer
5. SEPTIC TANK: ❑ Steel ❑® Plastic ❑ Concrete ❑ Fiberglass
Age NEW - See advisory if steel older than 20 years
6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ®❑ Wide Trench ❑ Seepage Pit
Waiver request for:
Expedited review requested: E:
Distance:
By applying for this entitlement, this property is subject to inspection by municipal On-site staff
to verify the accuracy of the information provided.
COSA Fee $ y Waiver Fee $
Date of Payment
COSA # 05 C Z 3 13,--t Cj
Date of Payment
Waiver #
COSA AppllcaUon—June 2022
COSA Checklist
Legal Description: VALLI VUE ESTATES #1; BLOCK 1, LOT 33 Parcel ID: 015-322-05
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _
A. WELL DATA I SERVED BY PUBLIC WATER SYSTEM
❑ Well log is filed with Onsite (or attached)
Date drilled Total depth ft
Cased to ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground)
Date of flow test for COSA9
Static water ginning of test ft.
B. TANK DATA
Measured operating fluid level in septic tank
Date of pumping
❑ Required maintenance completed, if AWWTS
Comments: NEW SEPTIC TANK - SEE ATTACHED RECORD DRAWING
Well production at time of test _ _gpm
Water storage tank a gallons
Well disi d for coliform test? ❑ Yes 0 No
if -Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by
Date
C. LIFT STATION
❑ Required maintenance
Age of lift station
Lift station nal
NEW TANK AND DRAINFIELD INSTALLED - SEE ATTACHED
D. ABSORPTION FIELD DATA RECORD DRAWING
Which system tested (date installed) 812023
W ALL standpipes present per record drawing
Total measured depth from grade 11.4 ft (max)
Measured depth to pipe invert from grade 5.2 ft (min)
❑ N/A — pressurized field.
❑ Per record drawings, field is insulated.
Monitor tubes go to bottom of effective.
If not, state depth into effective
❑ Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced _gallons date
Any rejuvenation treatment (past 12 months)
If yes, enter date -
Comments/Deficiencies:
COSA Checklist June 2022
Adequacy test date NEW
Results 0 Pass
Fluid depth prior to test in
Water added - gal
New fluid depth - in
Elapsed time - min
Final fluid depth - in
Absorption rate 450+ gpd
FIELD STATUS — POST RECOVERY
Effective depth (per record drawings) 48 in
Effective depth used 0 in
Effective depth remaining 48 in
E
E. SEPARATION DISTANCES SERVED BY PUBLIC WATER SYSTEM
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100'
❑■ Yes if No ft
Field to Property Line > 10'
Community Sewer Manhole/Clea
00'
Yes
if No
ft
_
Yes
if No ft
Neighboring Tank > 100' [] Yes
if No
ft
Private eptic Line > 25' FlYes
if No ft
Absorption Field on Lot > 100' ❑ Yes
if No
ft
Holding Tank > 100' ❑ Yes
if No ft
Neighboring Absorption Fields > 100'
Animal Containment > 50' F� Yes
if No ft
s
if No
ft
Manure/Animal Excreta Storage > 100'
Community Se aln > 75' ❑Yes
if No
ft
F� Yes
if No ft
❑ N/A — Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10' Fm� Yes if No * ft Surface Water > 100' 9 Yes if No ft
Tank to Property Line > 5'
❑■ Yes if No ft
Field to Property Line > 10'
Q Yes if No ft
Water Main > 10'
0 Yes if No ft
Water Service Line > 10'
M Yes if Noft ft
F. ENGINEER'S COMMENTS
*5'+ TO DECK (2ND STORY) POSTS
Wells on Adjacent Lots:
Private Wells > 100'
Community Wells > 200'
0 Yes if No ft
Q Yes if No ft
If tank or field is under driveway comment below
X- Af'SuMe_oD
G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based
on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm Gamess Engineering Group LTD. (GEG) Phone 907-337-6179
Engineer's Printed Name Jeffrey A. Garness Date b 23
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in
accordance with the guidelines and regulations established by the Municipality of Anchorage and industry
practices. The reported results describe the condition of the system/s on the date/s of the evaluation.
Separation distances were measured to readily identifiable features. Hidden defects or encroachments may
exist that were not identified during the evaluation. The operational life of all wells and septic systems depend
upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate
during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing
the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not
guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding'
the future performance of the well or septic system. GEG makes no representation whether an alternative well
or septic system can be installed on the property in the event either of the current systems fail to perform
adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG
to perform the evaluation. Reliance upon the information provided in this report by any other person or party
(including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever.
COSA Checklist June 2022
o40FA
....
........
......... I.......
O Je it A. Garn'ss.•
v
LICENSE 'Or o i ells 5k t,&
#AECC884 �`JOOo00�
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'~'"~ ~'JL,U-~ ,~),.j-r~/iq~k~¢- Telephone: Home
Applicant Address
Business .
(c) Applicant is (check one): Lending Institution []; Owner/builder,~; Buyer []; Other [] (explain);
(d) Lending Institution
Address
Telephone
(e) Real Estate Company and Agent
Address
Telephone
(f)
Mail the HAA to the following address:
TYPE OF RESIDENCE
Single-Family BI'Multi-Family
Number of Bedrooms
Other
WATER SUPPLY
Individual Well [] Community [~'~ublic []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAG__ETSPOSAL
Onsite [,Y Public [] Community [] Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legali[y 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 system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this in~sp~ection.
Nameof Firm (~(~..~bf'~ ~"~.~ . Telephone ~/-~/~/
Engineer's Seal
Approved for ' ~'--'-' ~ C~) [Jate
Approved ~ Disapproved __ Conditional
Terms of Conditional Approval
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Proteption {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 n'ot 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 2of 2
72-025 (I 1/84)
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENT/d. PROTECTION
MAR 2, 5
WELL DATA
Well Classification ~[h/~"~A If A, B, C, D.E.C. Approved (Y/N)
Well Log Present (Y/N) Date Completed Yield
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
Cleanout/Manhole
Water Sample Collected by
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
I
Water Sample Test Results
Comments
Standpipes (Y/N) t/~
Depression over Tank (Y/N)
SEPTIC/HOLDING TANK DATA
Size No. of Compartments
Air-tight Caps (Y/N)
Pumping/Maintenance Contract on File (Y/N) ~//~f
Holding Tank High-Water Alarm (Y/N) ~//~r
Separation Distances from Septic/Holding Tank:
To Water-Supply Well +Z(~:~
To Property Line Z. ~'
TO Water Main/Service Line Course *~ I
V.'~5 Foundation Cleanout (Y/N)
Date Last Pumped
; for
Temporary Holding Tank Permit (Y/N)
To Buiiding Foundation '~--(~)
To Disposal Field ~.~'/~o I
To Stream, Pond, Lake, or Major Drainage
Comments
Page I of 2
72-026(11/84)
ABSORPTION FIELD DATA
Soils Rating in Absorption Strata I.~0 ..~0/[.,~- /JO(_i'¢f~ Typeof System Design
Datelnstalled ~)-' I1'-~)t 2J¢' lit" ! Length of Field
Width of Field _ ~ ~;21t--
Square Feel of Absorption Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well ~F ~.C3C~
To Building Foundation
Lot '3LB'
TO Water Main/Service Line ~/~
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
I-I
Comments . J~
Date of Last Adequacy Test
Depth of Field
Gravel Bed Thickness _ ~'~
Standpipes Present (Y/N)
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots
To Cutbank (if present)
D. LIFT STATION
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, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed -~'~z~J-L'~'~'~ L/~(/(~/"' Date
Company (!0r'~,d~y~'~ ¢ ~550(Ud~;MOA NO.
Receipt No.
Date of Payment
Amount: $
Page 2 of 2
72-026 (11/84)
% ': "? Engineer's Seal
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA 99501
BILL SHEFFIELD, GOVERNOR
Telephone: (907)
274-2533
DATE: March 25, 1986
PWS I.D.# 210605
To Whom it May Concern:
According to records on file in this office the
Water Regulations
VALLIE ME SUBDIVISION
Water System is in compliance with the State Drinking
Sincerely,
AJ~District
Supervisor
APPLICANT FILLS OUT UPPER HA['""~ONLY
Address
Phone
Lending Institution
Address ..~")(~ [~_~ /~... Zip Code
Phone
Realty Co. & Agent
Address
Type of ~esl~nce
Single Family
~ Multiple Family No. of Bedroom~ ~
~ Other
Water Supply
~ Individual O~~ ~ ~ A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975.
~ Communily For wells drilled prior to that date, give well depth (attach log if available).
Public Utility ~ _ ~c~ --
Individual Year Individual Installed: , ,_.
Public Utility When Connected to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time Time Time Time /"~'"~
Date Date Date d~e .-* ~ ·
Inspector Inspirer Insp~tor Insp~to~
SEP 6 ~983
RECEIVED
(~) APPROVED BEDROOM8 'OONDITION8 OF APPROVAL
( ) DISAPPROVED
~ ~ CO~DmO.AbAPP~OVAL'
DATE ~
Soils ~ling Date ~wer Installed Well To Absorption Area weg Log Received
Well to Tank Septic T~ Size
August 18, 197~
Garfield Jones
GAR Excavators
3206 Greenland
Anchorage, Alaska
99503
Subject: Excavators permit to install on site sewer systems etc..
Dear Sir:
Municipality of Anchorage ordinance chapter 15.65.040 para A requires that
all persons installing any waterborne sewage disposal systems first obtain
a permit from this office° An inspection was mad~ by this department on
lot 33 block 1Valli rue Estates upon which your finn was installing an
upgrade for a s~~
This deparb~]ent is unable to fimal this installation off until your finn
fills out the enclosed application and returns it with a $10.00 fee to
this office.
If you have any further questions please contact this department at 279-2511,
extension 224.
Cory Willis
Sanitarian
EXISTING N
24.x,
HOUSE v>�O
AREA OF ENCROACHMENT--
=1.1 SQ.FT. N� r'4 . 4.0'
�OQE
P
ENCROACHMENT
DETAIL
1"=10'
AW
. 49 TH
.. .... /�
GA GERVELIS
S-148 3 • ,���
,l� R�ESSIONA���-r
30'
LU
Ln
d'
Ln
N
O
Ln
250 H Street
Anchorage, Alaska 99501
JCG Survey Department
Phone 562-5291
Inc Mainline
Phone 243-8985
czicktedt&'te • ert962ee,6i9 • dcdt_�nc9- AECC 668
ORDERED BY: THOMAS AND MICHAEL HOWARD
LOT 34A
N87° 00' 15"E 198.20'
10' UTILITY EASEMENT
-- ---- -- - -
- _o SEPTIC MAN HOLE-- �%
CLEAN OUT (13)
LOT 33
EXISTING
ISE
31�s
LEGAL DESCRIPTION:
LOT 33, BLOCK 1,
VALLI VUE ESTATES UNIT NO. 1
DRAWN DATE:
9/01/23
DRAWN BY:
ADS
CHECKED BY:
-
GMG
SCALE:
1 " = 30'
WORK ORDER: 23028
PLAT 71-217
GRID: SW2538
FB/PG:2013L129
LEGEND
4.0'
AS -BUILT
CLEAN OUT O
WATER VALVE >a
SETBACK LINE - — -
FENCE
...Asphalt
Concrete
Overhang+
Wood ffeck
TRACT A
GRAPHIC SCALE
1 15 30
1"=30'
NOTE:
1) THIS MORTGAGE LOCATION SURVEY (AS -BUILT) WAS PREPARED
FOR THOMAS AND MICHAEL HOWARD. IT SHOULD ONLY BE
USED FOR A SINGLE PROPERTY TRANSACTION. RE -USE OF THIS
DRAWING BY THE ORIGINAL CLIENT OR BY OTHERS FOR
ADDITIONAL USES LATER WITHOUT THE EXPRESS WRITTEN
CONSENT OF LCG LANTECH, INC. IS A VIOLATION OF FEDERAL
COPYRIGHT LAW.
2) THE LIABILITY EXTENT OF LCG LANTECH, INC. SHALL BE
LIMITED TO THE AMOUNT OF FEES COLLECTED FOR SERVICES
IN PREPARATION FOR THIS PRODUCT, UNLESS GROSS
NEGLIGENCE IS DISCOVERED.
3) THIS MORTGAGE LOCATION SURVEY (AS -BUILT) IS A
REPRESENTATION OF THE CONDITIONS THAT WERE FOUND AT
THE TIME THIS SURVEY WAS PERFORMED. THIS AS -BUILT DOES
NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECTTO
ANY INACCURACIES THAT SUBSEQUENT BOUNDARY SURVEY
MAY DISCLOSE.
4) THE INFORMATION CONTAINED ON THIS DRAWING SHOULD
NOT BE USED IN SUPPORT OF ANY NEW CONSTRUCTION.
5) THIS AS -BUILT ONLY SHOWS EASEMENTS THAT WERE ON THE
ORIGINAL PLAT. IT IS THE PROPERTY OWNER'S RESPONSIBILITY
TO DETERMINE IF THERE ARE OTHER EASEMENTS, COVENANTS,
RESTRICTIONS, OR RIGHT OF WAY TAKINGS OF RECORD NOT
SHOWN ON THE ORIGINAL PLAT.
ADDRESS: 10505 MAIN TREE DRIVE PARCEL #: 015-322-05-000