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Home My WebLink AboutVALLI VUE ESTATES #2 BLK 3 LT 20Valli E sta 'Block Lot #015-341-13 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 htlp://w .muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201262 Work Type: SepticTank Upgrade Tax Code Number: 01534113000 Site Legal Address: VALLI VUE ESTATES #2 BLK 3 LT 20 G:2538 Site Mailing Address: 6411 RIDGE TREE CIR, Anchorage Owner: HARRINGER MATTHEW P & Design Engineer: ANDERSON CONSTRUCTION & ENG'G This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sci Ft: Total Bedrooms: 7/24/2020 7/24/2021 31932 ❑ Disposal Field 0 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: 0 Issued By: Date: 34 a TO Date: H 0 MUNICIPALITY E ANCHORAGE 1C l�f Development Services Department f`a r Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-341-13 Property owner(s) MATT HARRINGER Mailing address 6411 RIDGE TREE CIR, ANCH AK Site address SAME Day phone Legal description (Sub'd., Block & Lot) VALLI VUE ESTATES #2 BLK 3 LT 20 Legal description (Township, Range & Section) Lot Size 31932 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank p (] Upgrade 0 (D) ❑ Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: 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: U Vi 0 Waiver Fees: Date of Payment: " g 2020 Date of Payment: Receipt Number: 1 (o(o $ Receipt Number: Permit No. d SIo2D 1262 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc July 18, 2020 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: New septic tank permit Legal: VALLI VUE ESTATES #2 BLK 3 LT 20 To Whom it may concern: This is a request for a septic tank permit on the above referenced lot. This tank replacement will not impact any of the neighbors or encroach on any wells, septic or open water issues. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201262, Deb Wockenfuss, 07/24/20 1"=40' PROPERTY LINE PROPERTY LINE NOTE: PROPERTY IS SERVED BY COMMUNITY WATER, NO WELLS WITHIN 200'. EXISTING HOUSE R&R EXISTING TANKS W/ NEW (2) 1000 GALLON PLASTIC TANKS W/ LIFT STATION FOR SECOND TANK. DEMO TANKS PER UPC EXISTING DRAINAGE FIELD VALLI VUE ESTATES #2 BLOCK 3, LOT 20 SCALE: DJRDRAWN: DATE: VALLI VUE ESTATES #2, BLOCK 3, LOT 20 Anchorage, Alaska MATTHEW & PAMELA HARRINGER 7/17/2020 -RIDGE TREE CIRCLE-DRIVEWAY VALLI VUE ESTATES #2 BLOCK 3, LOT 21 VALLI VUE ESTATES #2 BLOCK 3, LOT 19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201262, Deb Wockenfuss, 07/24/20 Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Ataska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Name: Wastewater System: B New ~pgrade ~d~: ABSORPTION FIELD Phone: ~ No. of 8~rooms: ~eep Trench D Shallow Trench ~ Bed ~ Mound ~ Other Lot: Block: SubCjvision: ~ ~ Depth to pipe bettom from original grade: Gravel depth beneath pipe Yield: GPM [Pump Set at: Ft. Icasing Height AbOve GrOund:Ft. TANK SEPARATION DISTANCES ~ Septic ~ Holding ~ S.T.E.P. SurfaCewater ~/~ .~ LIF~ STATION Lot ~ Size in gallons: ~ Manufacturer: Foundation Remarks: BENC:R MARK Department of Health and Human Services approval Reviewed and approved by: ,¢ ~ Date: ~-/]- ¢~ 72~013 (Rev. 9/91) MOA 25 AS-BUILT WASTEWATER ABSORPTION SYSTEM LOT 20, BLOCK 3, VALL] VUE ESTATES / PREPARED FOR: R,C, Peterson Es±aGe 6411Ridoetree Circle Anchocage, AK STEVEN R, PANNONE, P,E. P, o, BO~ 14eons ANCHORAGE, ALASKA 99514 274-0308 DATE: 6-8-9S I AS-BUILT SCALE: t' = 40' A8 BUILT WASTEWATER ABSORPTION SYSTEH New Trench Type Soil Absorpllon inONW~ System 59 LF z 0 Oxo Z J PREPARED FOR: R,C, Paterson Estc±e 6411Ridgetree Circle Anchorage, AK W L~ EL STEVEN R, PANNONE, P,E, P. O, BOX 142025 ANCHORAGE; ALASKA 99514 274-0308 ' MUNICIPALITY OF ANCHOP~AGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGP~kDE) PAGE 1 OF 1 PERMIT PERMIT NUMBER:SW950019 DESIGN ENGINEER:STEVEN R. PANNONE OWNER NAME:PETERSON R C JR OWNER ADDRESS:6411 RIDGE TREE CIR ANCHORAGE, AK 99516 PARCEL ID:01534113 DATE ISSUED: 2/17/95 EXPIRATION DATE: 2/17/96 LEGAL DESCRIPTION: VALLI VUE ESTATES ~2 BLK 3 LT 20 LOT SIZE: 31932 (SQ. FT.) NUIV~ER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN AI~CHORAGE MUNICIPAL CODE CHAPTERS 15.55 AIqD 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: R~.C~.IVED BY: ~ ~-- '~ DATE: ISSUED BY: ~~//~ --~ DATE: Steven R. Pannone. Consulting Engineer P.O. Box 142025 Anchorage, AK 99514 (907) 274-0308 RECEIVED APR 1 8 1995 MU u~paiay ct Anchorage Dept, Health & Human Serv ces Municipality of Anchorage Department of Health and Human Services Environmental Services P.O. Box 196650 Anchorage, AK, 99519-6650 April 14, 1995 ATTN: Mr. Robby Robinson RE: Lot 20, Block 3 Valli Vue Estates No.2 Request for Design Change to Permit SW950019 Dear Mr. Robinson; On February 17, 1995, your Department issued a permit to construct a new soil absorption system for the four bedroom house on Lot 20, Block 3 Valli Vue Estates No.2 The new buyer has plans to convert the existing four bedroom house to a six bedroom house, and would like to have the system upgraded to accommodate the additional bedrooms. A revision to the current design is necessary, and are as follows, - Instead of a 500 gallon lifts station, the new design calls for a 1250 gallon S.T.E.P. tank to be installed. - The new trench type soil absorption system will be lengthened to 63 feet long from 45 feet. Since the trench exceeds the thirty foot radius requirements around a test hole, soils will need to be verified during installation. They are expected to remain the same A soils log will be submitted with the as-built for this system - The revised drawing shows a replacement location for a six bedroom system Thank you for your timely review and approval of this revision. If there are any questions please contact me at the number above or my cellular phone 227-3522 Sincerely, Steven R.Pannone, P.E. DES].GN VASTEWAT~R ABSBRPTIBN St'STEP1 LI]T 2( BLEICt 3 VALLI VUE ESTATES T U Revised 4 14 95 PREPARED FDR 64~ R~dgezpe~ Cipcie STEVEN R PANNONE ).E - O. BOX 142025 ANCHORAGE, ALASKA 995~4 274-0308 DATE a-13-95 t DESIGN SCALE ]' 40' DE}].SN DETAILS WASTEWATER ASSBRPT]E]N SYSTEM New ?krencn Type Soil A~sorpzion SystemX- 63LF K) OU~ ~'U UPe %/sTerq 0 0 ¥ 0 0 0 0 d ~ O~ ~ ~9 J ~ ~ _~,_:_o MT ....... PREPARED FOR 641i R~d9e~pee An~hsPo9~ aK Z Revised 4-14-95 L STEVEN R, PANNONE. S,E P. 0, BBX 1420~5 ANCHBRAGE, ALASKA 99514 ~74-0308 NOT TE }CALE DESIGN Steven R. Pannone, P.E. Consulting Engineer P.O. Box 142025 Anchorage, AK 99514 ~ 907') 274-0308 Municipality of Anchorage Department of Health and Hnman Services Environmental Services P.O. Box 196650 Anchorage, AK, 99519~6650 February 16, 1995 ATTN: Mr Robby Robinson RE: Lot 20, Block 3 Valli Vue Estates No.2 Request for Sewer Permit Dear Mr. Robinson; On January 27, 1995 my firm was requested to perform an adequacy test on/he existing system located at the above property for an up coming sale. Since the house-hold had been unoccupied longer than six months a presoaking of the system to bring it up to its normal operating moisture was performed. After the presoak period an adequacy test was performed. The system fail the adequacy test See attached report. Agmn my firm was requested to determine alternative to install a new system for this property A test hole was excavated in the front yard and in the back yard adjacent to the existing system. The finding from the test holes are also attached. [ would like to request a permi! be issued to construct a new soil absorption system in the front yard as shown on the attached site plan and in accordance with the attached engineering plans and details A new 500 gallon lift station will need to be installed to pump the effluent from the existing 1250 gallon septic tank (installed in 1991) to the new soil absorption system. The new system will be a trench type system 45 feet long, 6 feet deep and 2 feet wide It will be start approximately six feet below the existing ground level, and will be entirely located in the material identified as sands with trace silts, having a peculation rate of approximately 1.5 minutes per inch. RECEIVED FEB I 7 1995 fy, lu., O ¢,.41. [y O[ A~lohorage Dept. Health & Human Servicee Mr. Robby Robinson February 16, 1995 Page 2 Existing soil absorption systems serving adjacent lots are greater than 100 feet away from the proposed system. A Class A public water system serves the property, and the service line is located greater than 10 feet away from the new system. There will be no conflicts with any existing water or soil absorption system. If you have any further questions, please give me a call. Sincerely, Steven R.Pannone, P.E RECEIVED FEB I 7 1995 Munic~pamy ot Anci~orage Dept. Health & Human Services ^/ASTEWATER' a~}SI3RPTZl]N SYSTEN LBT ~( BLBCI< 3 VALLI VUE ESTA'TES ~B PREPARE~ FDR ~4]] Ridge~ee Anchorage STEVEN R :ANNDNE P,E · D BBX 14202~ ANCHBRAGE ALASKA 99514 274-0308 DATE, 8 13-95 J ]?ES[GN 3BS GN #aSTEW~TEI~ ABSI]RPT~BN SYSTE~ z 0 0 · 0 0 PREPARE9 FBR 6411Rid9etree Clrc~e anchopage AK £flDNV39~ NBT ~ ~C~qLE1 DESIGN STEVEf ~ PANNBNE P,E P 3 BI]X 14~0~5 ANCH[3RAGE ALfiSKA 99514 ~74-0308 DESIGN DETAILS WASTE~/ATER ABSORPTION SYSTEM Peed ne mN ~- ~ S,T,EF ~an~. ~L[ wiPin9, snau conPor~ :o :ne 1992 UBC PREPARE[ FOR E411 Ridge:rea Circte Anchocoge ~: STEVEN ~ PANNBNE P,E c 0, BOX 142025 ANCHORAGE ALASKA 995]4 a74-0308 NOT TO SCALE DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED DATE PERFORMED: LEGAL DESCRIPTION: L Z(~/~'~ X~,~I (-L( ~/l~'T ~.~-dOwnship, Range, Section: I 2 3- 4- 5 6 7 8 9, 10- 11 13- 14. 16 17 18- lg- 20- SLOPE WAS GROUND WATER ENCOUNTERED? SITE PLAN IF YES. AT WHAT DEPTH? Oepth~ Gross Net Depth to Net Reading Date Time Time Water Dtol3 Z- ,~ I I,'l~_,A ~ q o Il:lq ~_ jo" / ~{:~ ~ /~ ; PERCOLATION RATE ~/'~'' (minutes/,nchl PERC HOLE DIAMETER TEST RUN SETWEEN ti, FT AND t/~ FT ;OMMENTS PERFORMED BY: S,'~-~i~i~j ~:L I ...~'~Ax~J~JG~J ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~_ Dj-- ~ 72-008 (Rev, 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFOI LEGAL DESCRIPTION: L2c~/'~/ '~,~U-.I L)L~- E:~''c'=l~-- Township, Range, Section: I 2 3 4 5 6 7 8 g- 10- 11 12 14 15 16 17- 18- 19- 20- SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? /-':'/'~ OeptJI to Wat~ Aller MortiSing? Dam: SITE PLAN Gross Net Deptll to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (minutes/mc;q} PERC HOLE DIAMETER TEST RUN BETWEEN '~OMMENTS ./t.~O~'~ -~ FT AND FT PERFORMED aY: I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 {Rev. 4/85) Steven R. Pannone, P.E. Consulting Engineer P.O. Box 142025 Anchorage, Alaska, 99514 (907) 274-0308 January 31, 1995 Dynan~ic Properties 3111 "C" Street, Suite 100 Anchorage, AK 99503 Attn: Ms. Laurie Lincoln RE: Lot 20, Block~Valli Vue Estates, No 2 Dear Ms. Lincoln I was contacted by your Company to perform an adequacy investigation of the existing on-site soil absorption system for Lot 20, Block3-g~alli Vue Estates, Number 2. In addition to performing the investigation I was authorized to have the septic tank pumped in preparation for an up-coming sale. Following are my finding an'd recommendations concerning the above mentioned property. Investigation On January 27, 1995, information was gathered from the Municipality of Anchorage, Department of Health and Human Services records concerning the above mentioned property. It was discovered that the system was originally installed in June of 1978. An adequacy test and Health Authority was conducted in January of 1981 According to approved as-built drawings, the system consists of a 1500 gallon septic tank and trench type soil absorption system 63 feet long and 4 feet deep, with a clean-out on the distribution lateral pipe and a monitor well. The records indicate that the system is covered with six feet of material. Upon arriving at the property, we discovered the back yard to be covered with snow, as expected. We were able to locate the foundation clean-out, septic tank clean-out, two post tank clean-out, one lateral clean-out and one monitor well. Northland Pumping arrived at the property shortly after we did and started pump th~ septic tank. They indicated that there was approximately 1200 gallons of sewage removed from the tank. This ~s a typical quanUty expected to be removed from a single clean-out located on a dual compartment tank. Ms. Laurie Lincoln January, 31, 1995 Page 2 Testing Since the house on the property has been vacant for a period longer than four months,, a presoak period was required to bring the fields moisture level up to the normal operating level. We added 640 gallons of water, from an outside lancet, into'the system over a ninety minute time period (2:28 pm to 4:00 pm). There was approximately 50 inches of water in the monitor well at the completion of water addition. We measured the water level the nexl morning {January 28, 1995 at 9:30 am) and found that there was approximately 48 inches of water in the monitor well. According to the approved as-built's, this depth placed the water level at the bottom of the distribution lateral pipe. We decided to allow the water to stand.for an additional 24 hours to assure proper absorption of the water. On Sunday, January 29, 1995, at 2:00 pm the water level was again measured. There was approximately 46 inches of water in the monitor well. There was a two inch drop in a 28 hour time period It was noticed that there was approximately six inches of black solids in the bottom of the monitor well. No adequacy test was performed due to the system being full of water Findings In our opinion, from the information gathered from the Municipal records, during the Presoak period and according to the Municipality Design Criteria, that this system is in failure, I.E not working. A quantity of 96 gallons was absorbed in 28 hours for a rate of 0.06 gallons per minute. A system must be able to absorb 150 gallon per bedroom over a 24 hour period to be considered properly functioning. There are several inconsistencies noted with this system. Thirty minutes into the presoak period, a water level of 14 inches was measured in the monitor well. An hour later, there was over 48 inches of water in the monitor well with 640 gallons of water added. A system of this size should be expected to accepl a greater volume. A depth to the lateral pipe was measure to be approximately 15 feet below grade. The depth to the bottom of the monitor well was measured to be approximately 20 feet below grade. That indicates a five foot difference between the two. According to the approved as-built's there should only be four feet Recommendation A new soil absorption system needs to be installed. There are a few options available for this property. A new trench type system, identical to the existing system, could possibly be constructed in the back yard adjacent to the existing system A waiver would need to be obtained from the Municipality to install the system closer than 50 feet to a slope steeper than 25 percent. It is likely that a waiver can be obtained. Ms. Laurie Lincoln January, 31, 1995 Page 3 Another option would be to install a new system over the hill in the lower part of the back yard. Special design and construction techniques would need to be employed to get the effluent down to the field with a velocity low enough to allow it to be absorbed A drop of approximately 30 feet is expected. A final opuon would be to construct a new system in the front yard, and install a lift station near the septic tank to pump/he effluent to the new field. Location of existing water servme and distribution lines in the front yard would need to be investigated. Proper distance from these line must be maintained. Costs associated with each option need to be investigated. Several installers should be contacted to obtain quotes to construct each of the above options. A subsurface investigation and percolation test will need to be performed were the new system is to be located to determine the size and type of system to be constructed. If you have any questions, please contact me at the above number. Sincerely, ~one, Project Manager P.E. Attachments C:\workL20-2vvue.ttr Edge o~' 2 Ec C,B, Exis~in 1500 Septic Tcnk A B Tob[e o~ Exls±ing Four Bedroom House ~istences A-B - 43,0' A C = 14,0' A-D 25,3' A E = 32,0' B-C - 32,5' ]}-D - 39,5' ]} E = 42,8' C-D = 6,5' Lot 20~ AS-BUILT Soi~ Alosomp~ion System ]}Lock 3 VcLLi Vue Esto~es, No,2 PREPARED FOR: 6411 Ridge±cee Cfr, Anchorcge, AK S±even R, Pcnnone, P.E. P.O, Box 142025 Anchorc9e, Alcskc 995]4 ~74 0308 Not To Scde Municipality of Anchorage 'Page I of ,~ 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: ~'/A/~ lO ,~0~-~ PID Number: OI~3~II~. Name: r~yn ~ ~. 5~11~ Wastewater System: D New D Upgrade Phone: ~ ~ - ~ ~ D Deep Trench D Shal~owTrench ~ Bed D Mound ~ Other LEGAL DESCRIPTION Soil Rating: Total Depth from origlnal grade: GPD/Sq. Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Grave~ depth beneath pipe Township: [Range: ~ ISection: i~ Fill added above original grade: Gravel length: I~N Ft. ~Ft. WELL: C New D Upgrade Gravel depth: Number of lines: I Distancebetweenlines: Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. Ft. SQ. Ft. Driller: Date Drilled: Static Water Level: Installer: Date installed: Ft. Yield: Pump Set ~t: Casing Height Above Ground: GPM Ft. Ft. TANK SEPARATION DISTANCES = Septic D Holding ~ S.T.E.P. TO Septic Absorption Lift Holding ~ub~ic/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Line ~c~r~ ~ Surface wat~ >~' >~' - - LIFT STATION ~,~. Lot , Size in gallons: [ Manufacturer: I ~' -- -- O "Pump°n" 'evelat: ~"Pump °fr'levelat: I High water alarm at: Foundation. Cu~ain Pump Make & Model ~ Electrical Inspections pedormed by: Drain I Remarks: * BENCH MARK Location and Description: ..... z~530 EC~O ~treet Inspections performed by: ~ ~ % ~ ~ Dates: 1st u/¢g/~/ ~" Department of Healt~d ~man Ser~s approval Reviewed and approved by: ate: , 72-013 [1/91) MOA 25 Permit No. ~ t,c/ ~ / ~' :~ 0"3 Page ~-' of ~- Municipality of Anchorage 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 PID No.: 72-013 A (2/91) MOA 25 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WAST~EWATE/,R DISPOSAL PERMIT NUMBER:SW910363 ~x~/~ ~-,~-~ DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:SCULLY RAYNETTA J OWNER ADDRESS:6411 RIDGE TREE CIR ANCHORAGE, ALASKA 99516 SYSTEM (UPGRADE) PERMIT DATE ISSUED:il/14/91 EXPIRATION DATE:il/14/92 PARCEL ID:01534113 LEGAL DESCRIPTION:~VALLI VUE ESTATES #2 BLK T 20 3 L LOT SIZE: 31932 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: .~ ~ DATE: ISSUED BY: ,~.~ ~z~{~y~3t- DATE: M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: This letter describes an adequacy test conducted on November 8-9, 1991 of the wastewater disposal system serving the Scully residence on Lot 20, Block 3, Valli Vue Estates g2, located at: 641 l"Ridge Tree ..~ Circle, and requests an upgrade permi[.to replace the deteriorating septic tank. According to the as-built inspection report, the 4 bedroom system was installed in June of 1978 and .. consists of a 1500 gallon septic tank followed by 63 lineal feet of soil absorption tren6h containing 4 feet' of sewer gravel. Since no standpipes were found in the soil absorption portion of the system, the ownei arranged for Carl's excavating to locate the' system and to install cleanouts and a monitor tube so that a meaningful adequacy test could be conducted. The system is situated on a terrace overlooking a steep natural slope to the north, and in uncovering the system it became apparent that approximately 10 feet of fill material had been placed over the original ground level. Although the bottom of the trench is 20 feet below the present ground level, the original soils test showing no groundwater appear to be valid. The cast iron pipe from the tank to the trench was almost totally clogged, so Carl replaced it with plastic as well as a short section of new horizontal distribution pipe. In connecting the discharge pipe up to the septic tank it was noted that the tank has become badly corroded and needs to be replaced, however it was decided to verify the adequacy of the drainfield prior to applying for a permit to replace the tank. A copy of our adequacy test data sheet is enclosed. At the start of the adequacy test .th, ,~a'f,u/~'le~-~"~n~e;°rfion of the trench accessed by the monitor tube the fluid level was approximately 16 below the top of the distribution pipe. After 239 gallons of water had been added the fluid level in the monitor tube had come up close to this level, but then the system continued to accept several hundreds of gallons of water without further significant rise. After 1558 gallons of water had been added the fluid level in the trench was up a total of 24". This final fluid level is still several feet lower than the outlet of the septic tank. We then shut off the water and let the water reabsorb; an hour and a quarter later the fluid level was down to 17.5", and it was down to 3.75" by noon of the next day. On the next day we were able to add another 600 gallons of water with only a brief rise in the fluid level above 16", and the fluid level receded back below 16" within 15 minutes after the flow of water was stopped. Based on this test data it is our opinion that the soil absorption system is still performing adequately for a 4 bedroom residence. Site conditions will make any future replacement of the soil absorption system ..quite expensive due to the presence of a steep down to the north of the present system, and the need for a lift station if a system were to be constructed to the south of the residence. If you concur with our assess- ment of the adequacy of the present system, please issue the requested permit to replace the septic tank. MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVl$1OIq 1 2 1991 RECEIVED Sincerely, Ted Moore, P.E. Flattop Technical Services 14530 Echo Street .Anchorage, .Alaska 995]~ O .4. T',~: 11/9/ FLATTOP ' rLCIINICAL SERVICES 14530 'Echo St., Anchorage, AK 99516 Ph, (907) 345-1355 (t Legal 'Description: Street Address: Client Name:.., Test Date:_ Initial Conditions: .Float #1 in T~c4 n T Float #2 in.~e^~^ c.~, Float #3.in.,£.U ~ Float #4 in Water added through:. ADEQUACY TEST DATA SHEET TeSted By: 72. ~=.t~ b.t.o. ~" pipe w.,3~" set~o~" b.t.o. ~ " pipe w., ~" s~et;Fl " b.t.o.. ;y " pipe w., ~ ~" set__" b.t.o. " pipe w. " fluid fluid Measured Well Yield "~.A. Unit Absorption Capacity Average Absorption Rate ~ Adequate for ~ Bdrms Surge Capacity = >KoO~! Adequate for ~ Bdrms MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION $25 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME MAILING ADDRESS LEGAL DESCRIPTION ~-~ E:~ \ \ ~ for 2 LOCATION I Well Absorption area O ~DISTANCE TO:~ ~,~ ~- ~ Manufacturer · DISTANCE TO: Well ~ Dwelling Manufacturer Well DISTANCE TO: Length of each line No, of lines / Top of tile to finish grade Length Width Foundation Total length of lines Material beneath tile Depth Type of crib Crib diameter Crib depth WelJ Building foundation DISTANCE TO: Class Depth Driller DISTANCE TO; Building foundation Sewer llne OTHER PHONE [~NEW I [] UPGRADE w dth Materia]~ ~ Nearest]otline/~ / Trench width inches inches NO. OF BEDROOMS PERMIT NO. PERMIT NO. Liquid capacity in gallons Distance between lines Total effective absorption area PERMIT NO. PIPE MATERIALS SOl L TEST RATING INSTALLER REMARKS Total effective absorption area Nearest lot line Septic tank Absorption area(s) Distance to lot line PERMIT NO, APPROVED DATE LEGAL g~-J;t¢l'3 (Rev. 3/78) ' PERMIT NO. i'4UN I r_: I F'I:IL I T¥ OF RNC,.HORRGE DEPARTMENT (--~HEALTH AND ENVIRONMENTAL F'~JTECTION ~_ 825 ~L STREET, ANCHORAGE, AK. ~gb~l 2~4-4720 O~--S I TE :--~Eg..IEP. PEP. FI · T APPLICANT RICHARD MEEHAN LOCATION RIDGE TREE CIRCLE LEGAL d~'B ~ VALLI VUE SUB TYPE OF SOIL ABSORBTION SYSTEM MAXIMUM NUMBER OF BEDROOMS SRA i5~4-C LOT SIZE 38000 SQUARE FEET TRENCH SOIL RATING THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= '10 LENGTH= ~F_-_.~ I]Ri~'v'EL DEF'TH= 4 THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE E~CAVATION (IN FEET>. THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE E~CAVATION (IN FEET>, REQUIRED SEPTIC TA~K SIZE= t 250 GALLC~NS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE, 'FWO ( -~ ) INSPECT I O~-~S F~RE REQU I BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELb OR i~0 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS M8¥ APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INST~LLATION, PER~II t' E~.PIRES ~,ECEMBER CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS 8S SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE COPES. I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE APPLICANT. RICHAR~ M/I~EHAN . ;'" lATER ANCHORAGE AREA BOROUGH ~'~ " De.. tment of Environmental Quality 3330 "C" Street Anchorage, Alaska 99503 Performed for ~.~.~,~ ~~~e~ Date performed Legal Descript~Xon. ~y~7~ ~ ~S~)~ ~ /~ ~_~/~J~/~' this form reports: Soils log ?4 - Percolation test Depth Feet 2- 3- 5- 7- 8- 9- 14- Was groundwater encountered? no If yes, at what depth? Reading Date Gross Time Net Time Depth to H20 Net Drop Percolation r~.te minute. Proposed installation: Seeoage Pit ...... Drain Field Depth of Inlet Depth to bottom of pit or trench COMMENTS: Performed By: ~ .S-~ Certified By: . Date: Municipality of Anchorage · Development Services Department Building Safety Division ~ On-Site Water and Wastewater Program 4700 Elmore Street 05, P.O. Box 196650 ;~ Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Location (site address) Expiration Date: Current Property owner(s) Day phone Mailing address Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Un/ess otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROoMs: (..o TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class .,Zlr- Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissu, ed for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER 5. DSD SIGNATURE 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, th'e~on-~ite..water supply and/or was[ewater disposal system is(are) in compliance with all applicable Municipal and State Codes ordinances, and regulations in effect at the time of installation. ' Engineer's Printed Name /~,-?,~ r/~[ ~ ~ ,,-~t ~ Date ~/l / Approved for ¢ bedrooms. Conditional approval for bedrooms, with the followino stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: (Rev. 11/05) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST LegalDescription: Lo~ 7_~.~ i~['/~, "~ (,~{~[,' U~,~-. '~'~'~, '~ ParcellD: b/~'-"5~[-/~ A. WELL DATA Well type (~ ~,5/~ Date completed ~ Total depth ft. ~m~"- If A, B, or C provide PWSID # Z.. ! Ob 0 ~ Well Log (Y/N). Sanitary seal (Y/N)_ Wires properly protected (Y/N) Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Static water levet~'"""~ ~ ft. ~~_ft. Well production ~ ~- g.p.m. WATER SAMPLE RES~ Coliform Ar~ ug/L date of sample: SEPTIC/H~G TANK DATA Tank Type/Material ~ ~'~'~ C Tank size / ?-- 50 gal. Number of Compartments Date installed- l Ill~(~[ Cleanouts (Y/N) ~" Foundation cleanout (Y/N) . Date of pumping /'//?, ~//// Pumper C. ABSORPTION FIELD 'DATA Date installed _~'/~e//~5'''' Soil rating (g.p.d./ft2 or ft2/bdrm) ~ -z 5'- System type Depression over tank (Y/N) '~ High water alarm (Y/N) ~ Length ~ ~ ft. Width ~-, ~ ft. Total depth t q.- ft. Eft. absorption area "H~:~ ft2 Monitoring tube . Date of adequacy test ~/Z~! Results(Pass/Fail) Fluid depth in absorption field before test/--/~ in. Water added/~,~ogal. ~ Elapsed Time: I~f~Omin. Final fluid depth/-'/~ in. Absorption rate >= Gravel below pipe ~,, ~ ft. Depression over field /~ For (-~ bedrooms New depth ~,7... in. /'~' ~' ~' ~ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) ~ If yes, give date Dm LIFT STATION Date installed ~'/? ~,/~- "Pump on" level at/'Y~ in. Datum Size in gallons ! "Z~"c.~ "Pump off" level at ~l in. Cycles tested '~ Manhole/Access (Y/N) ~' High water alarm level at /-'/(-e in. Meets alarm & circuit requirements? ~/ :E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: ~'~'~v' ~, on on lot On adjacent lots Absorption field on I~ Public sewer main ~ ~wer manhole/cleanout Sewe~ ~ Holding t~rk-~ Anirr~containment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Water main Wells on adjacent lots Property line Water service line Absorption field Surface water SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ~ f. Building foundation Water Service line 7~/Ie' Surface water ~'~ Curtain drain ! c0~ /~- Wells on adjacent lots ~oc~ ~./-- Water main '7. ~ ~ ~ Driveway, parking/vehicle storage COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name /~"//~'~ ~///~./~ c[ ~v~r'/ ~), ~', Date ~/,'~//! COSAFee $. H~D -f- Z?~' Date of Payment ~-/~//! Receipt Number ~/--~ ~ (~5 \ · Waiver Fee $ Date of Payment Receipt Number (Rev. 4/10) LOT 2 8956'40" W 10' Utility Eosement LOT 20 ~50.00' LAND ,,c.o,,~. 20, BLOCK 5, VUE ESTATES UNIT NO. Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ct.anchorage.ak, us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Expiration Date: ,~. - ~ 1. GENERAL INFORMATION ~ Complete legal description r Lot 20 BIock,.~V~alli Vue Estates #2 ' Location (site address or directions) 6411 Rid.qetree Cir, Anchora,qe, AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Steve and Kelly Van Home Day phone .346-4650 · 6411 Ridqetree Cir, Anchora,qe~ AK 99516 Day phone. Real Estate Agent Mailing Address · Shah Boyd/Prudential Jack White Day phone .762-5863 Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: 6 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class _A. Well Public Water System TYPE OF WASTE-WATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HA.A) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a pdvate or Class C well and may be reissued with new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. (Rev. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation based on procedures outlined In the Health Authority Approval Guidelines for this Health Authority Approval application shows that the on-site water supply and/or wastowater disposal system is safe, functional and adequate for the number of bedrooms and typo of strocture Indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone En.q. Svc. Phone 272-8218 Address P.O. Box 102954~ Anch~ AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Date En ineem C~mments' In conducting an ad~tmcy ~ I attempt to provide a ~homugk, conscicnlio~s g . · ..... rc~x~ ~lt~ d,..~r/be th~ i~formance o f ~h¢ ...s~n. un .d? ~h¢ cond/twns eaco==p at 9e ~ ol ~h¢ test, and separation distances meast~ed to readily ~da~Ql'mble features. The ol~rauo~l life ofall wells and Sel~ti¢ syslcms dep~d °n [he I°cal s°.? c°n. ditmn. ~tmd wa= levels ~t ~te during ~he l~r, and ~¢ wa~er usage of the family being served by Ihe syst _c~.. Thesc .con~tions are ~,,,,..:.~.,~__..~ ou~sid~ ~he conirol of thc evaluator o f ~is system. All s'~s ~cntually fail and ~-~' factory~st ,,~,,vts do not o~mntce future ~_.rformance of [he s.a. tcm. llor do ihcy ~t~ ~t ~ ~ no hidd'---cn dcfc~ts or eh'-- ~cr~chme~.' --~ES c.m ~he~efore not' p~ovide any ,~m-ranty for future performance nor give any estimate of how long the system will toni/hue to meet the operational .mq. ~ of ~e ADEC or MOA DSD. Th.e content of this ~x~t is for ae sole ?e~efit of ae. oa~er li~.a~ve. ~Y .lianc~ upon or ~ of ~ repmt by any odler person or party u not aulhorized nor ,ill It confer any 6. DSD SIGNATURE {r/// Approved for (~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Expiration Date: X Maintenance Agreements Supplemental Engineer's Report Other Odginal Certificate Date: ¢~, - '-~ ,~ - 0 ~ Reissue Date: Municipality of Anchorage Development Services Department Building Safely Division On-Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-79O4 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 20 Block 3 Velli Vue Estates #2 A. WELL DATA Well type Class A Comrq Date completed, Total depth ft Parcel I.D :,. 016--341-1;) If A, B, or C provide PWSID # Sanitary seal Cased to ft INSPECTION Collected by: Well Lng Wires properly protected Casing height (above ground) ,, Other bacteda FROM WELL LOG ~.,~T Dateoftest ~.~~~'- .. -- Static water level ~'~-~-~ ft , __ Date of sample: in. ft g.p.m colonies/100 mi B. SEPTIC/HOLDING TANK DATA Ce Tank Type/Matedat Anchoraae Tank Steel Date installed 11118/1~191 Tank size 1250 Cleanouts Y Foundation cleanout _.Y Date of pumping 812812001 ABSORPTION FIELD DATA gal Number of Compartments 2 ~_.~/_~ Depression over tank .N. High water alarm Pumper A+ Home Services Date installed ~/2611995 Soil rating (g.p.d./lt2 or fl~/bdrm) 12~ System type Deeo Trench Length.S9 ft W~th :~ ft Gravel below plpe 6,~ ft To~al depth 12 ft Effective ab-'~3rption area 767 fi2 Monitoring tube Y Depression over field ~L Date of adequacy test 2/8/2002 Results (pass/Fail) p For ~. bedrooms Fluid depth in absorption field before lest ~ in Water addndg00 gal. New depth '~3'~.T in. Elapsed Time: .1440 mtn Final fluid depth ~,7_. In Absorplion rate >= 900+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type). N ~f~s, give date. (Rev. 1 D. LIFT STATION Date installed ~d26/1995 Size in gallons 1250 "Pump on' level at 44 in'Pump o~ level at Datum ~'~/'(~ Cycles tested :~ Manhole/Access Y_.. 41 in High water alarm level at 4_~6 in Meets alarm & circuit requirements? Y SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT Septic tank/lilt station on lot ~ . On adjacent lots ~ Absoq~ion field on lot , ! / ~ On adjacent lots _ Public sewer main //~/[ ~ ~ Public sewe~ manhole/cleanout Sewer/septic sewice line ' Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Property line ~2 Water service line :~5+ Building foundation 7' Water main ~00 Drainage 100+ Wells on adjacent lots ;~00+ '* SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: ' - Property line 11 Building foundation tl Water main Waterse~vice line :~5+ surface water t00+ Absorption field 56 Surface water 100+ 55+ ' Driveway. parking/vehicle storage 254- Curtain drain 100o Wells on adjacent lots F. COMMENTS *G. ENGINEER S CERTIFICATION '. .... revfew of Municipal recorcls ~t ~ ~ sy~s ~ ~ c~a~ ~ MOA H~ ~s ~ e~ ~ ~ E~in~¢s PH~ Name S~n R. Pannone P.E. Date of Payment ,'~[~ [ IO~ Receipt Number I 4.~--'"'7 C~ c~ (Rev. 1 l A~e) Waiver Fee $ ., Date of Payment Receipt Number. N 89'56'40" W ~45.90' 10' Utility ~osement LOT 2~ LOT 20 LOT 19 I~[~LOT 21 ~50.00' cRidge Tree' _~.,' I .~ ,,~-o,,c~.,~,s~, ~o~ ~o~ ~-~:1 LOT 20, BLOCK I~'~;''~''"I'~,,~,,,, I~,-.,o..,,o,~ ~,-¢~1 ..... WASTEWATER ABSDRPT)DN SYSTEM LOT 20,,BLOCK 3, VALL! VUE ESTATES Abso~pt;on PREPARED FOR: R.C. Pe~er$on Esto~e 6411Ridgetree Circle Anchorage, AK D~TC~ s-~-':.,s I AS-B'UILT SC~,I~I~, l' · 40' STEVEN R. PANNDNE, P.E. P. 0. BD~ ~420~5 ANCHDRAGE, ALASKA. 99514 874-0308 .'~ MUNICIPALITY OF ANCHORAGE' DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Completelegaldescription /.-.OT~.C~ :--~L~c.K, .~' ,¢'A~Z.I ~,/~. ~,~"'t'-A'"rg:~.g'~. Location (site address or directions) ~,~ l! 'p_(-~?~_. , T'~-~ Property owner ~- c.'"[:~-+-~r~o,¢ ~& ~ ~,~ Day phone 4zc'f-~ z,/;~_~_/o ~ Mailing address ~--¢~c~ s,/,~"r~ ~T. s~"~-r'-r~ ~,-,A cf~ ~i~ --.57c, I Lending agency Mailing address Day phone Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ ~, TYPE OF WATER SUPPLY: NOTE: TYPE OF WASTEWATER DISPOSAL: NOTE: Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. Individual on-site ~ Holding tank ~ .,,, Community on-site Public sewer I~', i"\' .',' If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72q)25 (Rev. 1191) Front MOA~21 5. STATEMENT OF INSPECTION ElY 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 _-%"~-'=v -'=-~'~ Address Engineer's signature~:~~ - Phone Date DHHS SIGNATURE X, Approved for ~' Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date :-'¢he Mu~ii~ip~lity of A~horage Department of Health and Human Services (DHHS) issues Health Authority ,Approval ce~ificates'b&sed only upon the representations given in paragraph 5 above by an independent professional engineeYregistered in the State of ALaska· The DHHS does thru as a courtesyto purchasers of home · .¢ · ..... n t and their e~d ng nst tut ons n orderto sat sly certa n federa and state requ rements. Employees of DHHS do o conduc~iinspections 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. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST LegalDescription: /--oT~--~/T~L¢c/,~3 vA~-uVo~-~ParcelI.D, o/--~"-~q/-/,~; A. Well Data Well type A Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller Cased to Casing height Wires properly protected (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main .g.p.m. AT INSPECTION ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Sewer service line Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed / /-- / ~ - ~ I Cleanouts (Y/N) "~ High water alarm (Y/N) Date of pumping Tank siz~ Foundation cleanout (Y/N) .,,.J Compartments ? Depression (Y/N) Alarm tested (Y/N) Pumper 7'H:Cq~-T# L-A/J-~::'tJ~'-~,/u4;- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot /v///~ To property line ~' Sudace water/drainage On adjacent lots Absorption field ?lc, Ot ~ "~_¢,c, t Foundation ~ .~--..~ / Water main/service line 72_026 (3/93)O Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N) "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot ~/c~c~ ~ On adjacent lots p ~. c~cp Sudace water D. ABSORPTION FIELD DATA ~-t-- Date installed ~ ' Length Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Width "~- ~ ':7- Soil rating (GPD/FF) / ~_ ~ ~, '/'~,r~ System type Gravel thickness ~,,.~ Total depth Cleanout present (Y/N) 'T~ Depression over field (Y/N) Results (pass/fail) '--~ ~ for ~ After test - c~ - Bedrooms If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ;.. .... To building foundation On adjacent lots Surface water Curtain drain On adjacent lots ~ ~ oO ~ Property line To existing or abandoned system on lot Cutbank .~ ~- o ' Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA Signature. ~ Engineer's Name Date 72-026 f3/93)* Back Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST LegalDescription: /-~ ~ ~, /'/~1/" ~ E~/' #~ ParcelI.D. ~r--c3 ~/'/1-7 A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number Log present(Y/N) Date completed Driller Total depth Cased to Casing height Sanita~ seal(Y/N) FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Wires properly protected (Y/N) AT INSPECTION g.p.m. om ~:~ g.p.m. ~ > ~ _ z ~ Septic/holding tank on lot ; On adjacent lots Absorption field on lot ; On adjacent lots Public sewer main Public sewer manhole/cleanout Public sewer service line Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA Date installed Is Cleanouts (Y/N) Nitrate Collected by: Tank size I ~_ 5'--4, Foundation cleanout (Y/N) Other bacteria Compartments ~ Depression (Y/N) r~ High water alarm (Y/N) Date of pumping ~¥, ,4. (' h/ecu) Alarm tested (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot N,/~. To propertyline ~?-~ Surface water/drainage On adjacent lots -;> Absorption field /~_ ' Foundation 7 / Watermain/serviceline ~ ~/ 72-029 (Rev. 3/91) F¢ont MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION ~, /)- Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested On adjacent lots Date installed ~' / /,5- / Length ("g' ' Width(/$ 8 ¢¢' Total absorption area ~o,7' Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) N SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Surface water Soil rating I ~,.~ cF/G¢,trr,, System type '7'~'¢p /¢ Grave th ckness __Total depth Cleanouts present (Y/N) Date of adequacy test for 'f Well on lot N, To building foundation On adjacent lots Surface water ~. foo Curtain drain No,~e 30' On adjacent lots ~, '~oo' If yes, give date Property line To existing or abandoned system on lot N~r~r~l ~ I~ Cutbank ,~-~ ~/~ -~y,~/', Watermain/serviceline Driveway, parking/vehicle storage area 'r' bedrooms E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines i~,eff¢ct on the date of this inspection EnmneersName ~o~ ¢. ~oo ( ,: ~~ .~~ Date I / ~7 f7/ ', ,.;': % .-- .: .....~ / ' HAA Fee $ / 70 Date of Payment //--/~ -- e/ Receipt Number 72-O26 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number -' ' ~' DAffrE RECEIVED " INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE MUNIcIP^IJT~ OF lelephone 2~4-4720 MAILING ADDRES~ ~ROPERTY RESIDENT (If d~fferent from above) ' PHONE PHONE MAILING ~DRESS / / LEDAL..O.,PT,ONvA d, TYPE OF RESIDENCE NUMBER OF~BEDROOMS ~ One ~ Four ~ ~ Two ~ Five SINGLE FAMILY ~ MULTIPLE FAMILY ~ Three ~ Six [] Other 7. WATER SUPPLY INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ~ COMMUNITY since 1975. For weJ[s drilled that well June prior to date, give [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM /~ INDIVIDUAL/ON-SITE** /~?P~C"/YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTI LITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] , SIX ; PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] I NDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER [] Septic Tank or [] Holding Tank Size: /~-O&~ IfTankishomemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AF~EA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [~'~APPROV ED FOR L(' BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-O10 (Rev. 6/79) 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 Parcel I.D. # ~/~3"fll..~ HAA# 1. GENERAL INFORMATION Complete legal description ~. ~,., rZ/l< ~ b",~//i I./~ Location (site address or directions) Property owner ~oyn~ t-I-~ ~, Scsi~v Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev. 1/91) Front MOA#21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and 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. NameofFirm i~l~/-/~,.p T~ch,~;c~f ~qoe~. Phone Address /ffS-.~O ~cAa 5Y'. Anti, or--C-e, .~H-r, ~-~-I~ Engineer's signature ~'.,Z~ ~. ~ Date II/ DHHs SIGNATURE ~C'.' Approved for Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72~25 (Rev, $/91) 8ack MOA DEPT. OF ENVIRONMENTAL CONSERVATION WALTER J. HICKEL, GOVERNOR ANCHORAGE DISTRICT OFFICE 3801 "C" STREET, SUITE 322 ANCHORAGE, ALASKA 99503 563-6775 November 5, 1991 FOR: Flattop Technical Services PWSID#210605 My review of the records on file in this office reveals that the Valli Vue Subdivision Class "A" Public Water System, is in compliance with the routine coliform bacteria samples requirements listed in Table C, and with the inorganic sampling listed in Table B of 18 AAC 80.200. Sincerely, Byron Roys Environmental Engineer BR/cf 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTR AND ENVIRONMENTAL PROTECTION January 12, 1981 Bird Properties 2608 Nathaniel Court Anchoraget Alaska 99503 Subject: Lot 20 Block 3 Valli Vue Estates Subdivision ~2 Approval for the individual sewer and water facilities cannot be granted until the following item has been completed: (1) The septic tank pumped with a receipt submitted to this office. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw CC: Alaska National Bank of the North 3301 C Street - Calais II Anchorage, 99503 Jerry Dewhurst % Dynamic Realty 501 West Northern Lights Boulevard 99503 ~ MUNICIPALITY OF ANCHORAGE ..; DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION , ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720·-';' CERTIFICATE OF INSPECTION ~' SEWER AND WATER FACILITIES 1. PROPER'EY OWNER MAILING ADDRESS 2. LEGAL DESCRIPTION 3. TYPE DWELLING [~SINGLE FAMILY RESIDENGE MULTIPLE FAMILY RESIDENCE ED OTHER (Describe) 4, WATER SUPPLY ED iNDIVIDUAL ~COMMUNITY/PUBLIC 5. SEWAGE DISPOSAL [~1 NDIVl DUA L/oN-SITE ED PUBLIC UTILITY ED HOLDING TANK (Maintenance Required) [~¢/'~PP R OV E D FOR ¢ BEDROOMS E~ CONDITIONAL APPROVAL (See Attached) [~ DISAPPROVED DATE '~ BY (TITLE) 72-O14 (3/78) ,~MUNICIPALITY OF ANCHORAGE.-.. DEPARTM~ OF HEALTH AND ENVIRONMENT'IPROTECTION SUBJECT ,/ Redi~orm ® sEND PARTS I AND 3 WITH CARBON II~ITACT -~ 4S 469 PolyPoklSO iels)4P469 PART 3 WILL BE RETURNED WITH REPLY DEl'ACH AND FILE FOR FOLLOW-UP Permit # Septic Tank Size Absorption Area Installed Installer Manufacturer Soils Rate Material Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line Pa~e Two · ,. 'Dep~rtment of Health and Environmental Protectien ~ ' Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 20 Block 3 Valli Vue Estates Subdivision Affadavit Attached: ( ) Letter Attached: ( ) Approved: Date: Disapproved.: __~ {,~e-~,~ Date: Department Worksheet: o o GREATER ANCHORAGE AREA BOROUGt Department of Envirolmental Quality REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Type of Inspection: CMRO VA FHA CONV Mai.ling Address: 9-"55-(9 (. SS[ ay Phone Mailing Address: j~69 tJ~J¥lO_..j~'~'~..J~, Day Phgne Name of Lending Institution: ~e-ol~,(.~'~. ~y ~k/~.. Mailing Address: <~C9~ ~'~k>. Phone Mailing Address: ~,~01 ~k. S~, /~e, Phone Legal Description: 7. Type of Facility to be inspected: ~ No. Bdrms. Water Supply Type of Supply: Public Utility ~__ Individual If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility Individual 'on-site) If Individual, date of installation .~(JA~ Iq P[~)~ June 17, 1977 Security Pacific Bank Mortgage Lo~ Section 880 ~ Street Anchorage, Alaska 99501 Subject: Lot 20 Block 3 Valli Vue Estates Subdivision There is no on-site sewer system serving this property. Our records indicate no parfait issued or inspection conducted on the subject property. %f there are any further questions, please contact hhis office ~t 279-2511, extension 224 or 225. Sincerely, Cory Willis, Sanitarian c /ijn June 17~ 1977 Bill Swain Jack ~{~ite Company 3201 C Street Anchorage, Alaeka 99503 Subject: Lot 20 Block 3 Vallie Vue Estates Dear ~. Swain: This is to re-confirm our conversation on J~e 15, 1977, concerning the subject property. In order to bring this sewer system into compliance, a soils test must be conducted on the location of the system. There is no permit for a sewer system installation issued on the subject property and no inspection was ~made. At this time, the sewer system appears to be partially c~mpiete and there is no way at ~is time to determine its adequacy. If there are any further questions, please contact this office at 279-2511, extension 224 or 225. Sincerely, Cory willis, Sanitarian CW/ jh