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HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 6 LT 8Valli Vu Block 6 Lot 8 #015-311-55 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191522 PID Number: 015-311-55 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name KIMBERLY WATSON ABSORPTION FIELD -EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 6701 ROUND TREE DRIVE, ANCHORAGE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot VALLI VUE ESTATES #2 6 8 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well 200'+ -- 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1250 Gal. Surface Water 100'+ -- Material HDPE Number of compartments 2 Lot Line 10'+ -- NA Foundation 10'+ __ LIFT STATION Manufacturer Capacity Gal. Remarks Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 drainfield Tank to 3034 Installer A+ Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspdection V1 12/19/2019 12/30/20?9 Location and description 2nd 3`d 4'h DECK SUPPORT NEAR HOUSE ON-SITE WATER AND WASTEWATER SECTION APPROVAL -0 ��\ Conditional Approval: Date ��Q.�:•'� '•:tQ,��� � .. - ....... rr "" """"" % . Curtis Huffman 40`29'* CE128991ate Septic Syste Approved - D 3 i da02 • � lF�• . ,1i30/202p. •�� . PROFESSO Note: this approval does not include well permit requirements. (Kev Ub/U2/16) VALLI WE ESTATES #2 B6, L8 PID: 051-061-16 PERMIT: OSP191052 A -C=11.5' B -C=13.2' A -D=16.0' B -D=15.4' A -E=20.0' B -E=18.9' A -F=21 3' B -F=21 5' SCALE 1' = 30 CFPTIC QFCTinKi J I.HLL1 N 1 J �\ VALLI VUE ESTATES #2 B6, L8 SUPPORT SERVICES:i OF PREPARED FOR: �4�' KIMBERLY WATSON 101'�� � 6701 ROUND TREE DRIVE �* 9TH* � ANCHORAGE, AK 99507 FIRST WATER CONSULTING DATE: 1/30/2020 %rtis Huffman / DRAWN: FWCS CE 128991 13030 SUES WAY SURVEY: JLS 1 c�`Af ANCHORAGE, AK 99516 SCALE: V, = 30' IJ 1/30/202�w�' 907.350.9566 firstwaterAK©gmail.com `_'� FY EASEMENTS 29 NOTE: LOT IS SERVED BY A COMMUNITY WATER SERVICE PLOT PLAN ___ AS BUILT _X_ SCALE _1 _50__ GRID _ SW 2539Project No. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates in c . (907) 522-6476 Phone 00000 O (907) 592-46Y5 Fax Professional Land Surveyors o • �� p kenOlan surve com �F jonothanOlongsurvey.com �o�•.• s DO I hereby certify that I have surveyed the following described property: LOT 8, BLOCK 6, VALLI VUE ESTATES — UNIT No. 2 (PLAT No. 77-296) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the _ —__ Day of (�ICt,h g�dv�_,���_, at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 49TH KEN ETH fjGr�. .o i4�F�Fo ��Ps s'zoz.•- SSG aR ...... p�"apo OFfSS100 AECC963 12/11/19 F.PLft/S MUNICIPALITY OF ANCHORAGE i1. Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section "'� Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-311-55 Property owner(s) Jeffry & Kimberly Watson Day phone 9074414334 Mailing address 6701 Round Tree Drive, Anchorage, AK 99507 Site address 6701 Round Tree Drive, Anchorage, AK 99507 Legal description (Sub'd., Block & Lot) Valli Vue Estates #2 BG, L8 Legal description (Township, Range & Section) Lot Size 22,405 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank Upgrade M (D) El Holding Tank ElRenewal F-1Duplex 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: 'AA` jrt Waiver Fees: Date of Payment: &D L5 Date of Payment: Receipt Number: 6 PTO Receipt Number: Permit No. 05PII 16:2a Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Cllent Forms\Permit Application.doc Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345 -3377 / Fax 345 -1391 Support Services Brent M. Western 907-440-4601 December 10, 2019 On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: VALLI VUE ESTATES #2 BLOCK 6, LOT 8 The owner has requested we proceed forward to obtain a septic permit to upgrade the collapsed, aged septic tank on the subject lot. We request an expedited review due to the health / safety issues of the collapsed tank. The proposed 1250-gallon septic tank upgrade will serve the existing 3-bedroom house. The lot and area are served by community / public water. The water line will be located prior to installation to maintain 10’+ separation. The proposed design will not impact any of the neighboring properties due to the lot layout. Please contact Brent M. Western or me if you have any questions. Sincerely, Michael N. Anderson, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191522, Rebecca Carroll, 12/11/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191522, Rebecca Carroll, 12/11/19  ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE [] NEW MAILING ADDRESS LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS W~II , ~bsorption area Dwelling PERMIT NO. DISTANCE TO: ~ ~ Manufacturer ~ Material No. of compartments Lq. capacit in gallons Inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O ~ ~ Manufacturer Material Liquid capacity in gallons ~ ell . Foundation Nearest lot line PERMIT NO. No. of lines Length of eeeh~l~e ' Total length of lines Trench width Distance bet~een lin2s ~~ i ~8 r ~ U inches Total effective abso--tion ~ Top of tile to finish grade Material beneat~ tile area Length Width Depth PER~[T NO. ~ M Type of crib Crib diameter C~ib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: m 0 Building foundation Sewer Pine Septic tank Absor~ion area(s) OTHER PIPE MATERIALS REMARKS APPROVED DATE LEGAL Lo~B 72-013 (Rev. 3/78) ~ 7 Permit Applicant I ,--~UNICIPALITY OF ~NCHORAGE~ Department! ~ Health and Environmental i?rotec.tion 825 L Street, Anchorage, AK. ~9501 ~:~ * * * HANDWRITTEN PERMIT * * ~ON-SITE SEWER PERMIT /~,'.,/~ Location: ~;~ ~ ~ ~1 I~ ~e~.Phone Number: Legal Description:~Cc /~ --I /~A~-~ ~'~/ Lot Size: of Soil Absorption System.--~Is.~/~f-~ Type Trench: Drainfield: ~'~- Seepage Bed: Holding Tank: Maximum Number of Bedrooms: .~ soil Rating(sq.ft/br) The Required S_ize of~the Soil Absorption System Is: DEPTH q?Z LENGTH ~' GRAVEL DEPTH ~ WIDTH 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 excavation(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 excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~;~2 -~- GALLONS * * 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. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 3L 1 9 8 3 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to Applicant SWP/024 (1/81) include more th~3 bedrooms_~, Issued by'~~~ Date: / MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST [] SOILS LOG [] PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: SLOPE SITE PLAN 10 11 12 13 14 15 16 18- 19- 20- WAS GROUND WATER ENCOUNTERED? DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE .~ (minutes/inch) TEST RUN BETWEEN b I FT AND ~;>' ~ FT , 1 ALASKA e ,,dlROFIIllE!nTAL £Or/TROL Supplemental Soils InformaLion. Subdivision V£tl I V¢~ ¢ ~ Block t~' LOT '~ 2 4 8. ~2 14 16- 18- 2O LOl IH 2 3 4 $ 6 7 10- 11 13 14 15 16 17 18 19' 20- LOT TH 1 2 3 4 5 6 7 9- 10- 11- 12- 13- 14- 16- 17- 20- 1200 UJcs~ 33rd Auenu~. Suitz B'~e Anchorage. A odc(] 99503 · [907) 276.1361 LOT TH 2 3- 4- 7- 8- 10 ~6 17 ~GRi: 'C.R ANCHORAGE AREA BO," ~JGH. ~.l~j'j~)~]~/ Department of Environmental Quality ~ 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~'J~m~-~- ~Z~'AJT'~D~J~- MAILING ADDRESS LOCATION ~)//~/}/-~/~y/~:::/~- ~;r~/J/) T/~Dz~ LEGAL DESCRIPTION PHONE SEPTIC TANK: DISTANCE NUMBER OF FROM WeLt INSIDE LENGTH -'--'- INSIDE WIDTH ~ LIQUID DEPTH "-'" LIQUID CAPACITY /~O GALLONS. SEEPAGE PIT: NUMBER OF PiTS / DIAMETER'-- OR WIDTH /71 LENGTH°~':'~,` DEPTH ' ' LINING MATERIAL CRIB SIZE: DIAMETER'4 DEPTH ~ DISTANCE FROM: ! ! TOTAL EFFECTIVE BUILDING FOUNDATION''7 , NEAREST LOT LINE ~) WELL P----~/'Y']. __.. ABSORPTION AREA (WALL AREA) ~O .SQ. FT. ADDITIONAL ABSORPTION. WELL: TYPE p.u.N~/~.~, CONSTRUCT~O~ BU I LDI NG N EA REST FOUNDATION LOT LINE CESSPOOL APPROVED OTHER SOURCES DISAPPROVED DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE TANK SYSTEM REMARKS DISTANC ES: O--~ ~R fJ~OtO DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS~ Form No, EQ-031 DATE ~"~t~:~ I~, )~7~r APPROVED G.A.A.B, GREATER ANCHORAGE; AREA BOROUGH SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME OF APPLICANT f/'~'~/~:~,/~ . MAILING ADDRESS PHONE INSTALLATION LOCATION LEGAL D SOR'PT'ON i INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED SEEP GE PIT-- , DRAIN FIELD OTHER ., FINANCED THROUGH ~' TO BE INSTALLED BY SOIL TEST RESULTS ~ ~ ~ NOTE= THI~ PER~IT IS NOT VALID WITHOUT SOIL COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOT~CE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PRO . sEP*lC TA.K SIZE I~o~' Z~,,~¢~¢~1 -- J s~A~ 7..EA I /Y,,~I ~' PT MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ~ / SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DIAGRAM OF SYSTEM , DRAIN ~'ELO SEEPAGE PIT ALSO CONS]DER AREA WELLS. SE~^GE PIT CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION ~5 FEET INTO UND]STURBED SOil. 4 INCH DIAMETER CAST ]RON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE P]T FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I~iCENSED DESIG I~ER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBE~) SYSTEM IS IN ACCORDANCE WITH SA~D CODE. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUAL][TY 3330 "C" Street ANCHORAGE, ALASKA 99503 Case # Performed Legal Description: Lot ~ Block This Form Reports Soils Log~ Soil Test Must Be Logged To 4' Depth t Dated Performed. Subd-Tvision.~~d~ PerColation Test Soil Characteristics 1 1 12-- 13-- 14-- Below Proposed Seepage System - Was Ground Water If Yes, At What Encountered?_~_l~ Depth? -oss Time Net Time Depth to H20 Net Drop Reading Date Gross Ti Percolation Rate Minute Proposed Ins~ation: Seepage Pit~x~ Drain Field Depth of Inlet Depth to Bottom of-Pit or Trench COMMENTS: Test Performed~-~ w~--~_ ~.c~,. Date Certified BY: .... Date: l unicipality of Anchorage Department of Health and Human Services' .... Division of Environmental Services On-Site Services Section 825'L' Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www.cLanchorage.ak.us ' - - . (907) 343-4744 omissions i~ the professio, nal engineer's work. . . . ..... '"': '-CERTIFICATE OF. HEALTH AUTHORITY APPROVAL ..:' .: ,-.'. Complete:legal de~npt~ion . 'Lot 8~ gl~ck 6, Valh Vue Estates No. 2 ........ :, · - '... '.,:.: .~ ... ~ :.:'. :.-, LocaUon (s~te address or d~rectmns), · 6701 Round Tree Drive ...... --- .... ..... ........... ~... :.. ,.,. .... -,~ ,.-Ma ng address. ~. ,., 6701 RoundTreeDnve- . Anchorage AK99516 ............ ...,,: .... .Ma ngaddress ~ . . . . . , .... :,, Rea Estate A ent~ · ............... Day phone ....... -. .,' ::,: ~ Unless othe~nse requested, HAA w#l be held by DH. HS for ptckup.. HAA ptcked up by;., ,. .... . ... ,: ~. .... ... '... ': ::.. Communffy ClassA Well · , , · I-I..~.','~ :comm~jmty On-~te ~-'. "v.. "El ' ,.'.. '':' .i, .'.::' The Municipality of Anchorage Department'of Hea th arid Human Servic6s. [DHHS) issues Certifi~.,~t~s ~f H6alth'~.:'.' "'. :' "Authority Approval (H.~) based 0nly upon the'representations ~iven in paragraph 5 by an'independent profes§ional '7' :. '4 civil ~figineer t;e~i~tered in the State of Alaska. Certificates of Health Authority'Approval are requir6d for the transfer '~'.: ':..' of flue (except between sl~ouses) on' properfie~ ~erved by a single family on-site ¢r~stewate~: disposal and/or water -.. · :'.i ' Supply system.'DHHS als0'issues HAAs upon request to'home owners: .C~rtificates 6f Heal!h' Authodty'Ap'proval i are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissQed . with new water sample results less'than 30 days old. Certificates are valid for one year for properties se~ed by...: . Class A or B wells or a public.water system. The Municipality of .Anchorage is not responsible for errors or ..' 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 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 fror~ my investigation and inspection, the on- site water supply and/or wastewater disposal system is in compliance with all applicable Municipal and State code~, ordinances, and regulations in effect at the time of installation. ' ' · Name of Firm AndersonEn.qineefin.q · ' ' · ....... ' Phor~e: 522~-77+~ ' ~' ": . ....... -... ~ .;. · ......~ ..... ~.. ............. E~ ~,..,.RS4 . · ,-.. ...... ...., ...... .. . . . ,....,. ...., ~ ........ . .... NSITE. . ...... · ........ D~ .... . .... - ... ) ~ .... ,. ......... ., -~'--'~'~ ~ ......... .. .~ ... .. sappmved. · . ........ ..:O)l)ll )) ........ · ..~ .... ~ ..... . ........ ...... , . ............ ~,.- _ 1 .................... ~'~ ~,-~.'~ .......... .., . ,...~ . . . . · ...... .~, , ..~ ....... ., . ...... ...... .......... . .... ..~ . ...~, ., .. ~,,,,.;~ ., ...... , .. . ,- . ....;.'.-...::.:.,' n~w,t.,nec~,s[.. -,... ~, ,. ,'.,~- .-:.: .,.. ,:v:. MantenanceA~lreemenls ':.; , -: .... :-.' : · . ...... ;~...:~ ..~;:.~-,?,.~ Sepbc System gdwsory.-..-2 .~... ,.~.: ¥..? ~ ;.;~. !.}~ Supplemental Engineer's Report '. -:', :' '.: - .7 ;.~: :,.., ~. :;-ri ';: Municipality of AnChorage Department of Health and Human Services Division ofEnvironmental Sen~ces On-Site Senf~t~s Section 825't" Street Room 502 P.O. Box 196650 Anch~'age, AK gg519-6650 www.cLancho~ge.ak.us (90~) 343-4744 HEALTH AUTHORITY APPROVAL CHECKLIST . Legal Description: Lot 8, Block 6, Sk'yhills Vafll Yue Estates No. 2 Parcel I.D.: 015-311-~5 WELL DATA, Well type Class A Oate completed Total depth It IfA, B, otC provide PWSID # 210605 Cased to FROM ~ LOG We,Log 0 w~res propa~/protected [] casing height (above ground) AT INSPECTION -' .' in. Date of test ft ft Well production g.p.m g.p.m WATER ~A,IPLE RESULTS: Other bacteda colonies/lO0 mi Date of ~ample: - SEP'nC/HOLDING TANK DATA Tank Tyl~te~tal SeptldSteel Date installed ~r/4 Tank size .. Clearmuts Y F~,,'ndalion deanout N_ l~S0 gal Number of Compartments Two (2) Depression over tank N High water alarm N_.· .. Dateof. pumplng 2/15R1 Pumper A+ Home Sewlces C. ABSORPTION FIELD DATA DatoinstalledS/74,9/83 SoilratJng (g.p.dJfl~°r~rodrm).sopD/SFsystemtype Crtb/DeepT~ench Lenoth 23,4s it ~dth 17,5 fl- ¥otal dePOt4, T~t EffeclNe abso~aon area/20. 343 ~ Monltorfag tube Y Date of adequacy test 3rJ~l Results (Pass/Fail) Pass For Ruid depth in absorpaon field before test t1 in. Water added 450 gal. Elapsed Time: t~T20 min. Final fluid depth 11 in. Abscx~tlon rate >= Any mjuvenaUon treatment (past 12 me.) (Y/N & type) N Grovel below pipe 9,2 ff Depmssldn over field N bedrooms New depth 18.5 in. 450 q.p.d. ff yes, give date N/A O. UFT STATION - NONE ON LOT Date installed Size in gallons Manhole/Access 'Pump on' leve~ at __ in Datum E. SEPARATION DISTANCES 'Pump off' level at __ inHigh water alarm level at __ in Cycles tested Meets alan~n & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: No Well on Lot Septic tank/lift station on lot On adjacent lots Absorption field on lot Public sewer main On adjacent lots Public sewer manhole/cleanout Sewer/septic service line Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >5' Absorpflo~ field >5' Water main >10' Water service line >10' Surface water >tOll' Drainage >100' Wells on adjacent lots >100' · SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Pro. line O(SeeWalver) BuildingfoundaUon >10' Waterrnain >10 ...... .. · Wa",rServinaltne >10' Surface water >100'' ' ':'D~eway, parking/vehiciestorage Illl:)'~''~ ~ Curtain drain NoneNoted Wells on edjacent lots >t00' '-' . '. F.' COMMENTS ' ' '" : System is composed el a crib constructed in 1974 and an oveflloweench conslnJcted in 1983. I certify that I have determined through field inspections and - conformance wfth MOA HAA guidelines'in effect on this da",. . .' . ' ' :. ',~J~G,~:..~~ -' Date of Payment~ Date of Payment Receipt Number' IL~C'O~"'~ Receipt Number (Rev. 10/99) :'- DE RSO N: ENGINEERING,:,.,,,:',r.' ?i??l ~!'..--.,~ ".,.. -':~ ' - ...... : '.~,,."" -~.'" ~ '~.-'..-.-.' ' ,. P.O.- BOX 240~73 ........ '- '-" ~ ..-~ .' ~,.-. ,' ~.. ::"" "-. "'...,-, I' I I I ,,.,.,....,,.,. ...... . .,,.. ...... .: ..,.... (FAX) ..................... , . March 4, 2001 ..Prudential Vista Real Estate 4241 B Street. -. · Anchorage, AK 99503 Attention:: 'Cheryl Ponder/Janice Nordstrom 'Sul~ject: , Lot 8, Block 6, Valli Vue Estates No'. 2 · . - .... 6701 Round Tree Ddve · · · · . . Septic Systemilnspection'and Adequa. cyTest Dear Cheryl.or Ja r~ic~: .... : On March 3 2001;'we inspected the septic'~system lo6ated on Lot 8, Block 6:.Valli Vue Estates No. 2 Subdivision to determine whether it was in conformance with' current Municipal regulations.: Prior · to. the inspection'we reseai'ched .the records of both the State' of-Alaska Department of' Environmental Conservation (ADEC) and the Municipality of Anchorage Development Services . Department. Our.research revealed the system'had been inspected and tested twice in the last four years and both times found to be in substantial compliance with Municipal requirements., The :--second inspection·was, completed to. obtain' a Bed and Breakfast Certification.frown .'~he State. - Copies bf these i'ec0rds are incl,uded for·your review. ' ' - ' ' ' ' ' :rh~'s~,stem includes a '~',250-cjall~r~ septic':~nk, Which Was installed in'August ~f-1974 ~nd is now.. · · · nearly 27 years old. :A tank of this age is subject to'structural failu, re. at .anytime as the'ave, r.age. '.. ":" ' ' age of a steel septic tank is between ~15 and 20 years. No'signs ot structural damage ale ew(3em · '," '. '. at this time based on th'e ground surface' above the tank. 'A thorough 'inspection of !he rank'was . not comp eted however and cannot be accomplished without unearthing thetank. -" i ,' :: i.:'i ' · . The absorption'syster~ is composed 6f a 23' long by 17' wide·by 9'.effective depth cdb'constructed :.-'. . i'.' in'August .o, f1973 .'An overflow ab, sorption' trench a total of 48','long by' 5',wide with an effective..... , depth Of 2 .was added to the' cnb in September of'1983 ·'when an'additional bedroom was, .' ' ' 'apparent y constructed at the house. 'The system has operated in this Configuration since that time . '. :Ar~ ad~quacy.tesi ~as performed on the syste~nl to d~termir{e its absorptive'character Stics." Prior-. · · "' to the,test the wate~ level in'the crib was measured'at 101"..The ·water depth in the trench.was - .,, found to be '11'L .-A total (ff 451 gallons of'water ~vas added to the'system.at the post septic tank : . --" - cleanout. 'The water level in the crib did not'rise bu.t the level in the trenchmse to 18.5".' .The : '...' Water is apparently p~ssing directly through the crib ~nto th'e overflow trench: ":.Approximately 20 ', .. ' . .'. hours later·the,water le~,el in the trench had receded to the pre test level of 11.. :The system is .' ' .." ".' :' .' there, fore .' 6apab e"0f :.a. bsoi'b ng. more' than'i 450 gallons of watei;.! per ."day and'meets'.the,. :i ;;.' Tt~' ~d of tti~ ab;6rpUon t~:en(~h is"located on tl~e S'oL~thWester~' pr0pedy' line'in conflict With the 1.0' "' · ::.. ' setback required by the Mun cipality.. A waiver was issued in 1997 however allowing the ~rench ~o '...' · '- ' ·: remain at this Iocati0'n. A copy of the Waiver is included for your review.:', ·: ".' .' ", , ' ,, i" ' ",' - · Lot 8, Block 6, Valli Vue Estates No. 2 March 4, 2001 Page 2 of 2 No extedor foundation cleanout could §e found and records do not clearly indi~;ate wh~ther one was ever installed. In addition, the location of the Water service line could not be determined, but records indicate it is located more than 10' from either the septic tank Or the absorption system. The results' from this inspection and adequacy test are very similar to those obtained in June of - 1999 indicating the system has not deteriorated since that time. The water level in the trench pdor to testing in 1999 was 12". On March 3, 2001; the elevation was only 11" indicating the working .~'.' . level of the trench had not changed. We cannot estimate the'longevity of the system, because several factors including local 'soil conditions, fluctuating groundwater levels .and water usage of the current and future occupants 'can dramatically affect the useful life of any system. We can state however that at this padicular time the system is capable of absorbing the minimum amount - of water required .for a three-bedroom home over.a 24-hour period and is therefore eligible for - certification. - - Sincer(~ly, - ;...:. . ' Michael El Anderson, P.E. 'Attachments Anderson Engineering PO Box 240773 A,nchorage, AK 90524 Tel: 907-522.7773 DATE: 313/01 Fax: 907.522..~770 PROJECT #: 01-021 ' . LOCATION: Lot 8, Block 6, Valll Vue No. 2 Subdivision INSPECTOR: M. Anderson · Single Family r-J Multi-Family I~ I~ommercial #of BEDROOMS: 3 · WELL STATIC LEVEL: lt. PEAK LOAD CALC: 450 gals. CASlNG ABOVE GROUND: ff. . Type of Test: ~] WeIIFIowOnly I Septic Adequacy Only [-"]Both Well ST MT#1 MT#2 MT#3 MTn4 Row Cum. Static Liquid Liquid Liquid Liquid Liquid Time Rate VoL Vol. Level ST Level S.A.S. Level S.A.S. Level S.A.S. Level S.A.S. Level Meter Reading Comments (gpm) (gal) (gal) (fi) (inch) (inch) (inch) (inch) (inch) (inch) (inch) (inch) (inch) (inch) 12:51 .,,. A 11" A 101' A NA A NA 54230 Start Test 1:12 7.1 150 150 13.5" 101" 54380 .. 1:32 7.5 150 300 15.5" 101' 54530 -; 1:52 7.6 151 451 18.5" 101" 54681 End Water Injection. 7.4 Mean Gals/Min Flow Rate: ~ Does Septic Tank Require Pumping ? [] Yes · No r-I NA Is Wire In Conduit ? []Yes r--lNo · NA Recovery: · Time Tank S.A.S. Static Comments 1:52 18.5" Begin Recovery ,/4-11:50 11" Recovery Complete If Public Water Supply: PWS ID# Class: Test Results: Reviewed By: Date: 3/4/01 Is Water Supply In ADEC compliance ? []Yes [--1 No · NA 210605 Class A Meets Munl. Reauirements 02/23/2001 22:48 907-345-8183 JODYMOSES Z~u lO:18 FA~ 807~4 ?760 HOME 7501 E. 140i Anchorage, Al! 345-1~ STOMI~R SEI~ 67ol Round T~ VlCES, ..'.iNC,. h Aven'u¢ ' ~ taka 99516 ~ ~90 ;~ :. lump PAGE ,BI · ~OOl INVOICE # 17713 AMOUNT 34~-3454 2/00 1200 gallery% ! '.' I lOT, AL · ,{ :' "7~-,.,., ~_ -":~ ~ ,, ., 'f",~ '%~.: ' -. ' ·" .. .. . . ,~..,,,HLL. ',.-... ....::....... ~ C~od Shape [] 81udge buildup on botto~n ..~.--. ' [-I Floate¢ on top [] Jim cap miaslng or needs replacing t"l Cut s~andpip~ to 1' abov0-g~ound [.~-~ Needs Sept~ctrine MUNICIPALITY OF ANCHORAGE DEPARTMENT'OF HEALTH'& HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Bo~ 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTH.ORITY APPROVAL FOR A SINGLE FAMILY DVVELLING 0 I~' --~//~-~ HAA# 1. GENERAL INFORMATION Complete legal description L-o"f'- ~.~ ~,V~ ~_) X/'~-LL~ ~ U ~-- ~-gT'. ~;4E'Z Location (site address or directions) ~'/{b I ~.~o,jMO'T,P. ¢~-- [:)~-' Property owner Mailing address Lending agency Mailing address Agent banjo's1' ~ Address ~(>0~ Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual wel Community; well NOTE: NOTE: Public water ' If community well system,, provide written confirmation from State ADEC attest- lng to the legality and status of system.._ .. TYPE OF WASTEWATER DISPOSAL: Individual on-site ~, · Holding tank:' ,::,,< ' ~--:-- Community on-site Public sewer ' - :If community wastewate~ system p~ovide written confirmation from State ADEC attesting ~0 thb-I~gality'and status of system. 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 ana/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 Anc. l~orage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is ~n compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Alaska Water & ,- Name of Firm Waot~oo., //I Phone ¢8471 ~o~krldge/D'f.,A/ Address ,~ 4nc~./AKg~O'~/ --~ Engineer's signature /~ ~/~-/// DHHS SIGNATURE ~/ Approved for bedrooms. Date Disapproved. Conditional approval for bedrooms with the following stipulations: Additional Comments Date~ -//7'-77 pality of A~chOrage Department of Health and Human Services (DHHS issues Health Authority Approval Cerbflcatee:based only upon the representations given in paragraph 5 above' by an independent professional engineer registered m the State of Alaska. The DHHS does th~s as a cou rtesyto purchasers of homes and their lending institutions in oi'der to satisfy certain federal and state re~ uirements. Employees of DHHS do not conduct inspeetions or anatyze data before a certificate is issued.'The Municipality of Anchorage is not responsible for errors or omiesions in the professional engineer's work. MUNICIPALITY OF ANCHO,RAGE ENVIRONMENTAL- SERVICES DIVISION Municipality of Anchorage APR 0 2 1997 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825L Street, Room 502. Anchorage, Alaska 99501. (907) ~4{~'~[ V E ~ Health Authority Approval Checklist LegalDescription: L-oW' ~., ~,.~ ~J~-t..L~t ~/P,~--" ParcelI.D.: 0/~'--~//-~'~-' A. WALL DATA ~ j(f~B, or C, attach ADEC ADEC water system number Well type ~ letter. Log present (Y/~)--~ Date completed Total depth ~o__ Casing height (above ~~ Sanitary seal (Y/Ni ~. Wires properly protec, ted"(Y/N) FROM WELL LOG ~ ATIN~ION sDt~tt iec¢; 'a~ tr ,ege,' Well production ' __/ g.p.m. '~__ g.p.m. WATER SAMPLE R~ ~e~Nitrate ; Collected by~ Other bac .teria '~ B. SEPTIC/HOLDING TANK DATA Date installed ~/-7 Or' Tank size J2.~--O Number of Compartments ;;~ Cleanouts (Y/N) "/ Foundation cleanout (Y/N) /~J ~) Depression (Y/N) /VO ~ High water alarm (Y/N) ~J/~[ Date of Pumping IO//o/C/~ Pumper i~°"T'O -/~OOQ~-~ C. ABSORPTION FIELD DATA Date installed c]/Bg 'T'~-.-~ Soil rating (g.p.d./fF or fF/bdrm) _~o(, System type Length .or-~ ~ Width ' ~, ' Gravel thickness below pipe ~' ' Total depth Effective absorption area ~ Monitoring Tube present ~/N) ~ Depression over field (WN) ~O ~ ~Date of adequacy test ~ Results (Pass/Fail) P~ For ~ bedrooms Fluid depth in absorption field before test (in.); ' / ~ Immediately after ~O~al. water added (in.): ~ ~/ Fluid depth / ~ # (ins) Minutes later: /~ Absorption rate = ~ ~ g.p.d. Peroxide treatment (past 12 months) (WN) ~o~ ~o~ If yes, give date ~ ~ 72-026 (Rev. 3/96)* ~ ~o ~ o~ ~o~O. Date installed ~ Size in gallons~ Manhole/Access (Y/N) __ __~__ "Pump off'level at* High water alarm level at* ~ *Datum E. ~N DISTANCES SEPARATION-"D1S-T.~N_CES FROM WELL ON LOT TO: Absorption field on lot ~-~n adjacent lots Public sewer main ~ Public~ S~ine'~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ~"/+' Property line ~/ 4- Absorption field I~/ / Water main/service line u¢~"v°~J/Jsurface water/drainage'~'lOO Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line ¢ / Building foundation ~"'// Water main/service line Surface water '~' I oO ~ Driveway, parking/vehicle storage area ~ Curtain drain t~-~J~.~ ~5,.~o~J,',J Wells on adjacent lots ':~.23-OO/ F. ENGINEER'S CERTIFICATION I certify that I have in effect on this date. Sig Engineer's Date are HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ l/-,~,d~ Date of Payment Receipt Number ¢7_.~'¥ ~ Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825"L"$treet P.O, Box 196650 Anchorage, Alaska 99519-6650 343-4744 April 17, 1997 Jeff Garness, P.E. Alaska Water and Wastewater Services 8471Brookridge Drive Anchorage, Alaska 99504 Subject: Waiver Request forLLot 8 Block 6 Valli Vue Estates #2 Waiver Request #WR970013 , PID #015-311-55 Your request for a waiver of the required 10 foot separation between an on-site wastewater disposal system and a lot line has been approved. The waived distance is?0~ffeet from the southwest property line. This approval applies to the existing on-site wastewater disposal system lot line separation only. Any future upgrade to the on-site wastewater disposal system will require all separations be met or another approval from this department. If there any further questions or concerns regarding this waiver, please call our office at 343-4744. Sincerely, Daniel J. Roth Civil Engineer On-site Services ljw #7 WR~ WR970013 Date Received: Legal Description: Lot 8 Block 6 Valli Vue Estates #2 Engineer: Alaska Water & Wastewater/3eff Garness MUNICIPALITY OF ANCHORAGE Department of Health'and Human Services On-site Services Section Waiver Review Worksheet PID~ 015-311-55 HA# HA970109 04/02/97 Permit Applicant: 8471Brookridge Drive, Anchorage, AK 99504 Tom & Mary Lou Shreves Waiver Requested: Lot line waiver: 0' ~R~ ~~ ~~ &/,~ Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: Special Conditions: 3. Other: Waiver is Granted: ~ Waiver is NOT Granted: List Conditions or Reasons for above: ~F~ ~*~, ~//~D Date: Name of Reviewer Rec #: SZ~/Z Amount: $ //~SS Date Paid: ~/~-~ 8471 Brookridge Drive ~ Anchorage - Alaska 99504 Phone (907) 337-6179 - Fax (907) 338-:}246 Consulting Engineers March 10, 1997 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Septic System Lot Line Waiver for Lot 8, Bk 6, Valli Vue Est. #2 To whom it may concern: According to the 1983 inspection report, the trench system (5 feet wide) is 12 feet from the lot line at the closest point, however, the as-built survey (6/91) shows the trench clean-out just inside the property line. The location of the clean-out in relationship to the edge of the trench is unknown. It is possible that the clean-out was placed near the edge of the drainrock, rather than in the middle. The only way to verify whether the drainrock is completely on the property would be to expose it, near the clean-out, and have a surveyor verify the separation distance to the property line. The alternative would be to assume that the system is on the property, and obtain a lot line waiver to 0 feet. In the future, if it is determined that the trench is off the property, it would be necessary for the owners to obtain a fight-of-way encroachment permit from the Municipality of Anchorage, Public Works Department. This possible encroachment has existed since 1983 with no adverse effects that I am aware o£ Furthermore, the encroachment does not appear to restrict the potential for future septic upgrades on the adjoining properties. In short, I am unaware of any adverse impacts associated with this waiver. It is my recommendation that the subject separation distance be waived to zero feet. If you have any questions, please contact me at 337-6179, or on my digital pager at 1-800-481-116~. Thank you for your assistance. P.E., M.s. ?' " ~ DRAINAU~ AR~OWt . - ~.%-m','~ :. I~ '~'""'"0'""'"'*"' ""'"" "'" ' ~~.... flm~"ov'"'""~o., e. ,~*"~'~'~.. ~, ,~.~H .~ ~,i. LO~ ~' GLO ~K ~ ' ' 8B'l~ AflCKO~'AGE ALASKA .... ~1~, . · ' 8471 Brookridge Drive ~ Anchorage ~ Alaska 99504 Phone (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers March 24, 1997 Mui~icipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: HAA for Private Septic System and Community Well. Lot 8, Bk 6, Valli Vue Estates #2 S/D. To whom it may concern: The subject lot has a 4 bedroom house on it which is served by a private septic system. The home has been vacant since late October of 1996. The system consists of a 1250 gallon septic tank, a steel seepage pit, and a trench. The results of the field investigation and adequacy tests are summarized as follows: A: SEPTIC TANK: The existing septic tank was installed in August of 1974 (22.5years old). According to the M.O.A records, it is 1250 gallons, has two compartments and is made of steel. Most tanks of this type have a structural life of approximately 20-25 years. No warrantee is made regarding the structural life of the septic tank, or the steel seepage pit (see following paragraph). B. STEEL SEEPAGE PIT: The seepage pit was installed in August of 1974 (22.5 years old). Like the septic tank, it has a structural life of approximately 20-25 years. The liquid level in the pit (3/7/97), after not being used for over 4.5 months, was 38 inches deep. Presoak: Eleven-hundred gallons of water was introduced into the seepage pit and the water level rose 36.25 inches, to 74.25 inches (the efYective depth is 108 inches), which corresponds to 30.3 gallons per inch. Fifteen and one-half hours later the water level had only dropped 2.25 inches, indicating an absorption of 68 gallons (4.4 gallons per hour). Based upon the poor absorption observed during the presoak, I opted to only test the trench system. C. TRENCtt SYSTEM: The trench draixffield is 5 feet wide, 40 feet long, and has an effective depth of 2 feet. It was added in 1983 as a 1 bedroom upgrade to the existing 3 bedroom seepage pit. The soil rating for the upgrade was 306 square feet per bedroom. The total effective square footage of the trench is 343 square feet. In short, it was designed to handle approximately 150 gallons per day. As mentioned previously, the home had been vacant for approximately 4.5 months, therefore, presoaking the drainfield was anticipated. Prior to beginning the presoak, the trench sump was dry. On 3/7/97, 1295 gallons of water was introduced into the sump over a period of 195 minutes. The water level rose to a depth of 12.25 inches. Approximately 20 hours later (3/8/97), the level had dropped to 1 inch, an absorption of 1189 gallons. This was considered the presoak. Adequacy Test: The liquid level in the trench, prior to the adequacy test, was approximately 1 inch deep. Water was added to the sump at a rate of 6.58 gpm for 92 minutes (605 gallons), and the level rose 8 inches, which corresponds to 75.6 gallons per inch. Approximately 22 hours later the liquid level in the sump had dropped 7.375 inches, indicating that 25.3 gallons per hour had been absorbed. Based upon this data, it was determined that the absorption rate of the trench exceeds 600 gallons per day, as required for a 4 bedroom house. D. LOCATION OF WATER SERVICE LINE IN RELATION TO SEPTIC TANK AND TRENCHES: The location of the water service line in relation to the septic system is unknown. The inspection reports for the original septic system (8/74) and the upgrade (9/83) do not reference the water service line. The 1991 Health Authority Approval form indicates that the water line is greater than 20 feet from the septic tank, and 34 feet from the absorption field. I am certain that the septic tank is closer than 20 feet (only 10 feet required) from the water line, based upon the location where the water line enters the building (in crawl space). See the attached as-built survey with my note showing the general location where the water line enters the building. I am uncertain whether the required 10 foot separation distance was attained. Given the fact that the distance from the street to the house is so short, it is reasonable to assume that the copper service line is one piece with no spliced joints. Therefore, encroachment of the water line within 10 feet of the drainfield or septic tank (remember, there may be no encroachment) is probably not a legitimate concern. In the future, when the septic tank is upgraded, the water line should be professionally located and the new tank placed the required distance away from it. Since the existing condition has existed for 22.5 years with no adverse effects, it does not seem justifiable to make it an issue at this time. E. SEPARATION DISTANCE FROM TRENCH TO THE PROPERTY LINE: According to the 1983 inspection report, the trench is 12 feet from the lot line at the closest point, but the as-built survey (6/91) shows the trench clean-out just inside the property line. The only way to verify whether the trench (which is 5 feet wide, typically 2.5 feet on either side of the clean-out) is completely on the property would be to expose the trench, near the clean-out, and have a surveyor verify the location of the property line in relation to the trench. If a portion of the trench is offthe property, it would then be necessary to obtain a right-of-way encroachment permit from the Municipality of Anchorage, Public Works Department. Please provide direction from your department. F. PUMPING HISTORY: When obtaining the pumping records for this lot I noted that the system (septic tank and seepage pit) were pumped twice in 1996. On May 14, 1996 approximately 2600 gallons was pumped. On October 10, 1996 approximately 2800 gallons was pumped. Given the frequency, and the volume of the pumping, I assumed that the homeowners were having problems with the system. On 3/13/97 I ran water into the septic tank and verified that water was flowing into the seepage pit. In addition, I introduced 2250 gallons into the seepage pit in order to verify that water was flowing to the trench. The water level in the seepage pit rose from 63.5 inches to 100 inches, and stabilized thereafter. I could hear water running in the trench c/o, and eventually was able to see water in the sump. In short, there is continuity between the seepage pit and the trench. Based upon my limited observations, I was not able to identify any problems which would cause the septic system to back up into the house. On 3/17/97 ! called the homeowners (Tom & Mary Lou Shreves) and talked to Mrs. Shreves. She stated that there never were any problems with the septic system, and that she just routinely pumped it. If you have any questions, please contact me at 337-6179, or on my digital pager at 1-800-481-1162. Thank you for your assistance. Sincerely, ness, P.E., M.S. NOTE: The adequacy of a septic system is influenced by numerous factors, including, but not limited to, seasonal surface water infiltration, groundwater variations, septic system maintenance (frequency of septic tank pumping, usage of biolog4cal additives), condition of drain pipe and pipe joints' (which can be damaged by seismic activity and deteriorate with age), type of substances deposited in septic system (cigarette butts, sanitary napkins, misc. objects), and the amount of water being introduced on a continual basis. Consequently, the results of this' adequacy test are only valid for the specific day of the test. Furthermore, because of the limited nature of this investigation, it is possible that there are hidden defects which may not have been detected. No warrantee is made regarding the future performance of this septic system C.C. RE/MAX Properties, Mary Dee Fox 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 1. GENERAL INFORMATION Complete legal description Lot 8; Block 6; .Va~'Vu~ #2' ~ Location (site address or directions) 6701 Round Tree Drive Anchorage~ AK Propedy owner Don Brilz Mailing address 6701 Round Tree Drive Day phone 346-3836 Anchorage 99516 Lending agency Mailing address. Day phone Agent Bonnie Mehner/JACK WHITE C0. Address 3201 "C" StAe6t Suite 100 Day phone 762-3110 Anchorage, AK 99516 Unless otherwise requested, HAA will be held for pickup. 2, NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: NOTE: Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site NOTE: XXX P~u blic sewer If comnp, unity wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72~)25 (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, Name of Firm ~ & $ ENGINEERING 17034 Eagle River Loop Address :.~ D;~,,,- &l..U. qg~? EngineeCs signatur;"' .......... //"~/ Phone OHHS SIGNATURE f'/~' Approved'for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: By: Additional Comments Date 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 an¢ 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. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. Well Data Well type ~--L/~ ,~',~' Log present (Y/N) Total depth Sanitary seal (Y/N) Parcel LD. Date of test If A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller Cased to Casing height Wires properly protected (Y/N) FROM WELL LOG g.p.m. Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot ~or_~ ATINSPECTION ; On adjacent lots Absorption fietd on lot ; On adjacent lots Public sewer main ~/cleanout Sewer service line / Petroleum tank WATER SAMPLE RESUL~$J--~-''~'~ Coliform ...~ate"~ sample: B. SEPTI~TANK DATA Date i.sta,ed Cleanouts ~N)y High water alarm (YN~ _/--/ Date of pumping Nitrate Other bacteria Collected by: Tank size /~.~(~ Compartments Foundation cleanout(~/N) ~-~:~'~'~'~'""¢g Depression (Y,~) Alarm tested (Y/N) /LJ'/.~ Pumper ,J~ ¥ HO/./)~ SEPARATION DISTANCES FROM SEPTIC/i=t~ai~:TANK TO: Well(s) on lot /'~/C~' On adjacent lots ,~cg)o To property line ~O / :~- ~-- ~ Absorption field _/L. Surface water/drainage /~) 72-026 (3/93)* Front Foundation ~' ~ Water main/service line /~- CONTINUED ON BACK PAGE C. LIFT STATION ¢~/C~J~'~ ~¢,~¢r~-/._f~ ~ Date installed Manufacturer Size in gallons Manh~~ Vent (Y/N) __ "Pump on" level at ~ "Pump off" Level at High water alarm level ~ Cycles tested Meets MOA electrical__ SEP~ANCE FROM LIFT STATION TO: On adjacent lots Surface water ..~¢e11-o n lot D, ABSORPTION FIELD DATA Date installed ~/¢¢:/ ~//7~//¢(~ Soil rating (GPD/Ft2) :OC ~/~ 'System typo ¢ ¢ / / , ,//~/ , Length ¢¢ Z~ Width ¢ //~ Gravelthickness ;¢ ¢ Totaldepth Total absorption area~4~ ~ZO C eanout present~) ( Depression over field (Y~ Dateofadeq,acytest¢//~/ ¢¢ Result~ail) ~%~ for ¢ ~) Bedrooms Water level in absorption field before test ¢~ / ~ Aftertest ~ / / Peroxide treatment (past 12 months) (Y/N) ~ ./~ ~o~ ~ If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water Curtain drain ...,¢o.¢~- ~,.~,o~,~ On adjacent lots ~'~'~ r ~ Property line To existing or abandoned system on lot Cutbank ,z~o.>~,~..~.~:_E ~.z.-¢~ Water main/service line Driveway, parking/vehicle storage area ~ ~¢- Date of Payment Waiver Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back MUNICrPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 3434744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner ~ ~c~,~¢ ( ~*. Do ~,, ~.~e? uay phone Mailing address Lending agency Day phone Mailing address .. Agent Ig~, J ~ Address zzz~ Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: NOTE: individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 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 flies 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 ~¢,.,,~11 ¢.0,~o/¢-,'.%3 -~,~¢;;~5 Phone 3./~- ~¢/~/ Address ~ z~ E.~ ~ Engineer's signature ~ Date DHHS SIGNATURE Approved for ~ Disapproved. Conditional approval for bedrooms, bedrooms, with the following stipulations: Additional Comments By: Date 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. 72-025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage ~i~ Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: I-t)+ g /5 - (~ V,~tl~v ¢ ;e,o Parcel I.D. A. WELL DATA Welltype ¢,l~s~ A IfA, B, orC, attach ADEC letter. ADEC water system number Log present (Y/~ Date completed Driller Total depth Cased to Casing height Sanitary seal (Y/N) FROM WELL LOG Wires properly protected (Y/N) AT INSPECTION Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Al, A, 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 Nitrate Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ~/7~/ '~"/~//zd?V Tanksize /ZSO Cleanouts ~}'N) Foundation cleanout (Y~ High water alarm (Y/~ Alarm tested (Y/~ Date of pumping ~' -/¢:~ ~'/ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Other bacteria Well(s) on lot /V, A, To propertyline ~5~ Surface water/drainage On adjacent lots k~. ,~, Absorption field IZ / NOtJ Compartments ~- Depression (Y~ Foundation B ' Water main/service line 72-0~6 (Rev. 3/91) Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at "Pump off" level at High water alarm level Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed ~ Soil rating Z 5 ~ Length ~'£ ' Width ~.;b ', /1 '~¢3'~9/ Gravel thickness Total absorption area 3~.~ ~ 7Zo ~. ~, Depression over field (Y/~ Results (Pass/fail) ~ ~ for Peroxide treatment (past 12 months) (Y~ / L~*~Cleanouts present Date of adequacy test If yes, give date System type Crib Total depth bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /¢, A, To building foundation On adjacent lots /.3~ Surface water /Vo.o ¢ On adjacent lots /~/, A. Propertyline To existing or abandoned system on lot Cutbank /,)~r~ ~ Water main/service line Driveway. parking/vehicle storage area ~ Curtain drain k), ^, E, ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Engineers Name~ Date HAA Fee $ DeteotPayms t Receipt Number Waiver Fee: $ Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Properly Owner ~ ~ ¢~,~ Telephone: Home ; ~¢¢~¢¢3 Business Mailing Address (c) (d) (e) Lending Institution Mailing Address Real Estate Company and Agent Telephone Telephone ~7 ~ -7~ J( Mail the HAA to the followina address: or: Check here~, if hold for pick up. List contact person and day phone number below. ' ' TY~PE OF RESIDENCE Single-Family ~ Number of Bedrooms WATER SUPPLY Individual Well W Community [] Public [] /.~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite~/ Public [] Community [] Ho]ding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 fRev 8/86l Fronl 'HJOAA s,Jeeu!bue leUOlSSe~oJd eq~ u! SUO!S$!LUO JO SJOJJe JOJ elq!$uodseJ ],ou s! @beJoqouv Jo ~,!led!e!unl~ eql 'penes! $! ei~o!~!iJeo e aJoj@q e]ep ez~leue JO suo!~eedsu] lenpuoe leu op SHHQ Jo see/,oldUJ3 's]UeLUeJjnbeJ e)B],s pu~3 leJepaJ u!eiJeo ~j$!~e$ o~ J~)pJo u! suoj~nl!~su! 6u!pual J!eLt~ pue sawoq jo SJeseqoJnd o],/,sal]noo e se 8!q~ seep SHHQ eql 'e)~SelV jo alelS eql u[ paJeis!beJ Jaeu!Sua leUO!SSejoJd ~,uepuedepu! ue ,~q e^oqe S qdeJOe~ed u! ue^!O suofle~uesaJde~ eql uodn ,~lUO paseq salee!j!pae le^o]ddv /~IHOL!Inv qlleaH sense! (SHHQ) seo!^JeS UeLUnH pue qlleaH Jo lueu~uedeQ e6eJoqouv Jo X),!led!,o!unR aqJ_ NOIJ. rlVO le^oJddv leUOp,!puoo 1o sw~el pe^oJddes!Q ~ ~ /~// pe^oJddv ,~q sLuooJpeq~ JoJ pa^oJddv -IVAOUddV SHHO '9 leas s,Jeeu!bu3 ~,/ 'uon, oeosul slq~, ,~o elep eql uo ~oa,t,t@ u! suo?,elnbeJ pue 'seoueu!pJo 'sepoo e~e]S pue led!o!un~N lie q~!N~ @9ue!ldUJoo u! Jo/pue ,~lddn$ Ja),e~ el!s-uo eq~ 'uo!loedsu! pue uo?,e6f~se^u! XLU UJOJI pue sel!~ pau!e~,qo UO!~eLUJOIU! eq1UO peseq leqi ,~Jpe^ Jeq~Jnj I 'u!eJeLI peleo!pu! eJnlonJls eien bepe pue leuo!lounj 'e,tes s! LUelSAs leSOds!p Je~,et~@l, se~ Jo/pue/~ldd ne q~leaH siq:~ ,to uo!~eb!~se^u! ,~LU ~,eqi/~l!JeA I '~oleq u~oqe e:~ep uo!iep!le^ eql ,to se pue o~,eJeq p@x!Lte leas ,~LU Xq pe!,t!~eo sV NOI.L¥INblO4NI (]NV V.LV(3 'HOUV=IS =I'IH 'SIS=II 'SNOIJ. O=IdSNI 9NIQIAOI:Id I/~bl14 9NII:I=IUlNIeN=I -g ..... · MMNICIPALITY OF ANCHORAGE (MOA) I~U[~ICIPAtlTY OF ANt.~u~"~.-"~ DEFT. OF HEALTH & HEALTH AUTHORITY APPROVAL (HAA) ENVIRONMENTAL PROTEC~IO~ CHECKLIST- FEBRUARY 1984 WELL DATA I h¥ 1 4 1987 I ECEIVED 264-4720 Lega Descril~tion: Well Classification C~..,,~-~' ~ : IfA, 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 Water Sample Test Results Comments 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 Date Installed Standpipes (Y/N) Depression over Tank (Y/N) SEPTIC/HOLDING TANK DATA Size /~,'~, ~ O No. of Compartments T/.~-,/¢,~ Air-tight Caps (Y/N) '~ Foundation Cleanou.t,~Y/N) }~/ Date Last PumPed ~/~'///~;~'~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ~ To Property Line ~ ; for Temporary Holding Tank Permit (Y/N) To Building Foundation 7/ To Disposal Field /~- f' To Water Main/Service Line Course NO ~/~//~' To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absor~n Strata ~"~ ~ Date Installed ~7~ ~.~...~ Length of Field /~ "'~' Width of Field (~f¢-.//'~ ~ /7~¢,'~.~X~,~%~ ~, . .Depth of Field · ,/, "- ,j[~,cq¢~\ ~¢'¢' Gravel Bed Thickness ' '~ YZ, 4-, '7 ~ Square Feet of Absorption Area ' Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well ,.~ To Building Foundation ,.~ '7 Lot ~'~ O ~"-~ ~ To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Standpipes Present (Y/N) T" Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) Comments D. ',FTS.AT.O. Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** 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 ~"~_ ..~-tl.,f..¢,¢./--~¢~.../'.. Date Company '7 MOA No. Receipt No. \ C:(-) I ,~c~ Date of Payment % Amount: $ \ CTX?.)- C.C2, Page 2 of 2 72 026 (11/84) Engineer's Seal ~ DATE'R ECEIVED '~ INSPECTION APPOINTMENTS TIME TIME TIME DArE DATE DATE INSPECTOR INSPECTOR INSPECTOR0,fC~ . MUNICIPALITY OF ANCHORAGE ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC,i,,iCiPALI~F~C;,L~;H;,AGE  825 L Street - Anchorage, Alaska 99501 DEPT. ~~i~ ENVIRONMENTAL PROf~CTION ~ ENVIRONMENTAL SANITATION DIVISION JUL 1 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10)days for processing. 1. PROPERTYOWNER ~ PHONE MAILING ADDRESS P~OPE~TY ~ESIDENT (If differen~ from above) PHONE 2. BUYE~ PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE MAILING ADD~ES8 4, REALTOR/AGENT / / [ PHONE MAILING ADDRESS/t 5, LEGAL DESCRIPTION STREET LOCATI~ ~ 6. TYPE OF RESIDENCE NUMBER OF~SEDROOMS [] One [] Four //~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ~ Three [] Six [] Other 7. WATER SUPPLY [] INDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ~ COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~ J ~ INDIVIDUAL/ON-SITE** / 77 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 []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: ~..~1~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AR EA MATERIAL 4, DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line -- 5. COMMENTS "JAPFROVEOFOR "EDROOMS ¢CCd [] CONDITIONAL APPROVAL (letter must accompany certificate) B~DISAPPROVED 72-010 (Rev. 6/79) ~W. 15th AVE "C" SUITE 203 ,NCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 SEPTIC SYSTEM ADEQUACY TEST LEGAL: LOT 8, BLOCK 6, VALLI VUE ESTATE LOCATION: 6701 ROUNDTREE OWNER: M. DORBRANSKI RESIDENCE: WELL: SEPTIC SYSTEM: SINGLE FAMILY, THREE BEDROOMS COMMUNITY, CLASS A FROM MUNICIPAL RECORDS: TANK: STACK STEEL, TWO COMP. 1250 GAL. ABSORPTION SYSTEM: TRENCH AND STEEL RING CRIB ABSORPTION AREA: 343 + 720 SOIL RATING: 256 UNADJUSTED INSTALLATION DATE: 1983, 1974 DATE OF PUMPING: MAY 4, 1987. ANCHORAGE PUMPING SERVICE DATE OF TEST: MAY 1, 1987 TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND NINE FEET DEEP AND WITH 51 INCHES OF LIQUID. STEEL CRIB WAS 14 FEET DEEP AND HAD 93 INCHES OF LIQUID. TRENCH WAS SEVEN FEET DEEP AND DRY. PERFORATED SECTION OF SUMP COULD BE SEEN. 630 GALLONS OF CLEAN WATER WAS ADDED TO THE CRIB WHILE THE WATER LEVELS IN TANK, CRIB AND TRENCH WERE MONITORED. NO WATER WAS DETECTED IN TRENCH, WATER LEVEL IN TANK DID NOT CHANGE, WATER LEVEL IN CRIB ROSE 10.5 INCHES. WITHIN 45 MINUTES THE WATER LEVEL DROPPED .75 INCHES INDICATION AN INFILTRATION RATE OF 60 GALLONSZ~- PER HOUR. TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue to meet the op~e~r~.~a~t%~onal requi- rements of the Municipality and State ALASKA I IiLIIROFImI FITAL COFITROL SI RUICI S, II1C. ~n§inecrinq 6 ~nuironmenI~l SluSics JULY 27 1983 JACK WHITE COMPANY/ATTN 3201C STREET ANCHORAGE AK 99503 LARRY CLARK SELLER - WOOLCOCK BUYER-DORBRANSKI SUBDIVISION-VALLI VUE #2 BLOCK-3 LOT-8 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 720 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 325 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 280 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS NOT ACCEPTABLE FOR A HOME OF 3 BEDROOMS. THE SEPTIC TANK WAS PUMPED ON JULY 28 1983 SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 3 BEDROOM HOUSE. 1250 IS ADEQUATE FOR 1200 IJJcsI 33r~I Aucnu¢, $uii¢ ~ · Anchoreg¢, Ala$ka 99503 · (907) 276-136! ALASKA E FILIIROFImE FITAL COFITROL $ RUIC $, ~nqin**rinq $ ~naironmcnlal $1udi*s InC. JACK WHITE COMPANY/ATTN 3201C STREET ANCHORAGE AK 99503 LARRY CLARK JULY 27 1983 STATEMENT SBDN VALLI VUE #2 SELLER- WOOLCOCK BLOCK 3 LOT 8 BUYER-DORBRANSKI SEPTIC TANK PUMPING ADEQUACY TEST WATER CHARGE HEALTH AUTHORITY 65.00 235.00 0.00 0.00 $ 3OO.OO IF DESIRED PAYMENT MAY BE DEFFERED TO CLOSING AND MAY BE PAID FROM THE ESCROW ACCOUNT. PLEASE LET US KNOW. THANK YOU 1200 IJJesl 33rc[ Aucnae, Suite ~ · Anchora§¢, Alaska 99503 . {907) 276-1361 July 14, 1983 Michael K. and P[.J. Woolcock c/o gxecuto~e 1400 S. W. Marlow Avenue Portland, Oregon 97225 Subject: Lot 8, glock 6, Valli V~e, ~/2 Approval for the individual se~er and water facilities cannot be granted antil the following items have been completed: The septic tank pu~ped with a receipt submitted ~o this departmeut · An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed, This report needs to be submitted to this office for our review. Please notify this Department for a reinspection when the noted discrepancies 'have been corrected. If there are any further questions~ please call this office at 264-47Z0. $incerely~ Enclosnre RP24/ej/E2 Robert C. Pratt Associate Environmental Specialist MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION .,j ', !' ,' 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES Michael R. Wo6l~cock MAILING ADDRESS 6701 Rou~'d Tree Drive, Anchorage, Alaska 99507 PROPERTY RESIDENT (If different from above) PHONE BUYER PHONE Same MAI LING ADDRESS DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE 272-55 3 7 J344-2328 : 27~N~641XB50 3. LENDING INSTITUTION Alaska Bank of Commerce 'C' Street Branch Anchorage, Alaska 99510 MAILING ADDRESS Pouch 7012 PHONE 4. REALTOR/AGENT None MAILING ADDRESS 5. LEGAL DESCRIPTION Lot 8, Blk. 6, Valli Vue Estates STREET LOCATION 6701 Round Tree Drive, Anchorage, Alaska 99507 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [J~] Four [] SINGLE FAMILY ~_~ ~/'Two [] Five [] MULTIPLE FAMILY bi~ Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells ddlled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if avaNab~e.) 8. SEWAGE DISPOSAL SYSTEM [~[] INDIViDUAL/ON-SITE** **If individual/on-site, give installation date [f system is over two (2) years old an adequacy test is required [] PUBLIC UTI LITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONL. DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR I NSP ECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVI DUAL DEPTH OF WELL []: COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED Connection Verified INSTA I~Septic Tank or [] Ho]ding Tank Size: ~ If Tank i,~home~ade SOILS RATING TYPE OF TANK MANUFACTURER 4, DISTANCESwELL TO: Septic/Holding Tank Absorption Area/~'ewer Line I ~arest Lot Line 5. COMMENTS (: APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED_ DATE BY ITit~ LEGAL DESCRIPTION 72-010 (Rev. 3/78) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received June 7, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. Approval requested.by: Alaska Bank of Conuaerce Mai]in9 Address: Pouch 7-012, 99510 % Peg Phone: 279-5641 2. Property Owner: David A. Beam Phone: 349-1234 Mailing Address: 6701 Round Tree Drive 3. Legal Description: Lot 8 Block 6 Vali Vue Estates #2 4. Location: 6701 Round Tree Drive 5. Type of facility to be inspected Single 6. Well Data: Conununity System A. Type C. Construction Sewage Disposal ~ystem: On-site system Family No. of bedrooms 4 B. Depth D. Bacterial Analysis A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Distances: A. Well to: 1974 B. Installer "T~.~,~-Q. 1. Size ~-~ 2. Manufacturer _~ 1. Absorption Area ~ ~.~l, 2. Material Field: Total length of lines Absorption area ~ , , Sewer Lines Other contamination ,~ , Absorption area Septic tank Nearest lot line Foundation to septic tank C. Absorption area to nearest lot line EQ-034 (1/74) Page I of two pages ·age ~ of two pages - Rex ~;t for Approval of Individual '~'~ir & Water Facilities &egal'Descri0tion Lot 8 Block 6 ~alli Vue Estates #2 Comments Approved ~ ~ Disapproved Date Approval Valid for one year from date signed Greater Anchorage Ar6a Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3;330 "C" Street, Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA 2. Property Owner: Da¥±d A. Beam FHA MUNICIPALITY OF ANCHORAGE DEist. OF HEALTH & ENVIRONMENTAL PROT£CTIOi~ JUN ? RECEIVED CONV XX Mailing Address: 6201 Rounc~ Tree I)riYe~ Anchora, ge~ Ak Day Phone 3. Name of Buyer: Albert G. and Frances M, Trudell Mailing Address: % 2601 East 5th Avenue~ Anchorage 4. Name of Lending Institution: Alaska Bank of Cor~merce Mailin9 Address: Pouch 7012~ Anchorage, Ak. 9.gt10 Phone 5. Name of Realtor or Agent: Thoraas Hadad~ Jack White Company Mailing Address: 3201 C Sbreet~ Anchorage~ Ak Phone Day Phone 272-5401 279-56hl (3hZ) (Pe¢) 277-1553 6. Legal Description: Lot 8~ Block 6~ Valli Vue E~tates # 2 Location: 6701 Round Treet Drive¢ Anchorage, Alaska Type of Facility to be inspected: SFR No. Bdrms. £our Water Supply community water system Type of Supply: Individual Public Utility If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation approximately June~ 197b, E0-O37 (1/74)