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VALLI VUE ESTATES #2 BLK 5 LT 9
Valli Vue Estates Block 5 Lot 9 #015-123-48 Municipality of Anchorage Development Services Department Building Safety Division'N~,, - On-Site Water and Wastewater Program, 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www. ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: O-.qPjoIO,~t ~'~ PID Number: OI5 Name: J~r'~. 5'if~ Wastewater System: ~ New ~ Upgrade Address: 66qt ~o~ ~¢ ~c~t~a, AK ~% ABSORPTION FIELD Phone: ~u%ber of Bedrooms: 3 ~DeepTrench ~ Shallow Trench U Bed U Mound U Other: LEGAL DESCRIPTION So~ Rating: Total Depth from original grade: ['~ GPD/Ft2 IO Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: Township: Range: Section: Fill added above original grade: Gravel Length: ~; ~ New ~ Upgrade Gravel width: Number of Fines: Distance be~een lines: Well: Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material: Ft. Ft. 5~ Driller: Date Odlied: StaticWater Level: Installer: Date Installed: Yield: GPM Pump Set at: Ft. Casing Height Above Ground; F,. TANK SEPARATION DISTANCES '~ Septic D Holding ~ S.T.E.P. D Other: ' T~ To Septic Absorption Lift Holding ~ublic/Private Manufacturer: Capacity: .ro~% Tank Field Station Tank Sewer Line A~C~OC~ ~.~-- Well Su~acoWater j~ [~'t N/g, ~ ,A LIFT STATION Size: Lot Line ~ ~0{~ ~[~ ~1~ Gal. Manufacturer: Foundation '~'* J"'~ ~' ~'/* /~ "Pump 9n" level at: in' "P~ High water ala~ at: in' Cudain Drain ~i~ ~/~ ~i~ ~,t~/ ~ ~ ~ectr'~l Inspections peffo~ed by: Remarks: Lo~tion and Des~ption: Inspections performed by: L*I?3 ~;M¢~¢~,(~ Dates: 1st~[ J(~,O Development Se~ices Depa~ment Approval Conditional Approval Date: Reviewed and approved by: ? 7 VA 8 VU £LDCK (~ ~ept:lc,.~ EE / STAT A B C 20.0 12..~ 25.0 17.~ 25.5 19.~ 26.5 20.~ 26.5 20.t, 101.5 ~0.0 $2.0 47.0 25.0 ~5.0 ?8.$ 25.0 ~8.5 2~.5 10 DIVERTER VALY~I INSTALLED 3-BEDROOM SEPTIC SYSTEI~ 1000 GALLON SEPTIC TANK LENGTH 46 FEEl' WIDTH 2.5 FEEl' TOTAL DEPTH lO FEET ROCK DEPTH 6.5 r~ET COYER ¥.0 FEET EXISTINGSEPTICIq~b PER UPC REOU/NEWENTS NOT~ PUBUC WATER WELL >200' R ~ LARS SPURKLAND ~,~ SPURKlAND ENGINEERING 205 W 15TN. A VENUE ANCH. AK. 99501 (907} VALLI VUE ESTATE//2 BLK 5 LOT 9 MARK STEVENS 6641 CROOKED TREE DRIVE, ANCHORAGE, AK 99516 SEPTIC SYSTEM ASBUILT DA TE: JUNE 22, 2010 SHEE~: 2/4 GRID: 2559 PERMIT #£2P101073 PIB # 015-123-48 VolUVueEst:o t:es#BBSL 9Bl, dwg 0© w ~ 49"ch ~ ~.~,,~ ...................... ~,~,~ ~ LAR~ SPURKLAN~ 46' Lon~ lO' ~eep 6,5' ~ewer rock 4,5' Cover NO :CALE 0 .0 0 ~ iaaa gal Septic tank Cie haut ~' mtt , IIII E~= ~.5 4' Cover l Ill ~.= e~.o .... E~K= 85. d 6,5 P~ aP Septic ~ock ]OOOgal, ~ep~ic B.o.~. E~= 79.~' ND ~CALE BENCH ~K BO~O~ S/D/NG NW NOUSE SPURKLAND ENGINEERING ~[,[ ~E ESTATES ~2 BZK 5 LOT 9 SEPTIC SYSTEM ASrUILT ~03 ~15~h Ave Anchoroge Ak 9950i ~ARK STEVENS BATE, JUNE ~, ~Tg-~g~A ~4~ ~ ~ ~1~, A~CHO~AGE, AK ~6 SHEETJ 3/4 GRI~ ~539 PER~IT ~ OSP f O f 0 73 PARCEL ID ~ 0 ~ 5- ~ 2~-~ ~ALLIVUEESTA TESJ2~SL9D3. dw9 Permit Number: Tax Code Number: Work Type: On-Site Wastewater Disposal System Permit OSP101053 01512348000 Septic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Upgrade Permit Effective Dates: June 10, 2010 to June 10, 2011 Design Engineer: SPURKLAND ENGINEERING Subdivision: VALLI VUE ESTATES #2 Site LegalAddress: VALLI rUE ESTATES #2 BLK 5 LT 9 G:2539 Owner/Address: STEVENS MARK T & ELIZA M 6641 CROOKED TREE DR ANCHORAGE AK 995077002 Site Mailing Address: 6641 CROOKED TREE DR, Anchorage Lot Size In Sq Ft: Total Bedrooms: I t)epa,'tment 35030 3 This permit Is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:. A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Issued By: .~ ./~.~- Date: Municipality of Anchorage P.O. Box 196650 · 4700 Elmore Road Anchoraqe, Alaska 99519-6650 · (907) 343-7904 · Fax (907) 343-7997 htr p:l/www.m u ni.orf:l/O nsite Development Services Department On-Site Water and Wastewater Proqram **** VARIANCE/WAIVER REVIEW **** Waive~: OSP101073 COSA#:~ Permit~:OSP101053 PID#: 015-t23'48 Legal Description: Valll Vue Estates #2, Block 5 Lot 9 Engineer: Spurkland En.qineerlnq Applicant: Mark Stevens Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the excessive slope has been approved. The approved separation distance is 15.0 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: ~ Waiver is not Granted: Nar~e of Reviewer Rec#: 066392 Amount: $200.00 Date Paid: 6/2/10 **** VARIANCE/VVAIVER REVIEW **** Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION Vad,,.c,: 05 ~ 1~1o7;1, FOR A SINGLE FAMILY DWELLING Parcel I.D. OI5- 12'~' H~ Propertyowner(s). /~elZ -.~l~5 .Dayphone ~2$- Mailing address (oG~JJ Crc,o ke~ Tree;,~ac~ot"~e; Site address - .~,~¢ - Zip Code Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) Lot Size ~.~.. ~)~,/") Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR (~;~ all that apply): THIS APPLICATION IS AN: Absorption Field [] Initial Septic Tank ~ Upgrade Holding Tank [] Renewal Privy [] Private Well [] Water Storage [] I certify that the above information is correct. I further certify that this application is being made for a Sin. gle Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of properly owner or authorized agent) Permit/Rush Fees: Date of Payment: (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number. Environmental Consulting and Deslgn I SEPTIC SYSTEM DESIGN VALL! VUE ESTATES//2 BLOCK 5 LOT 9 Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 May 27, 2010 Subject: Septic System Installation Permit 6641 Crooked Tree Drive Ladies and Gentlcmen: I am writing to request a permit to upgrade the septic system for the above referenced property. The proposed system will serve a 3-bedroom single-family residence. The existing system was installed in 1988 and is no longer meeting house hold requirements. The existing drain field will be let~ in place and connected to the new system via a diverter valve. A Soil log, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Calcs: No Groundwater observed to a depth of 16 feet below ground surface (5/5/2010) Soil Rating. From Testhole 5/5/2010 1.9 min/in = 1.2 gal per sq.~/day No. of Bedrooms 3 Required Area per Bedroom: 150/1.2 =125 sq.ft. Total area required: 125 x 3 = 375 sqt~ System: We are proposing a 1000 gallon septic tank, and a deep trench absorption field. The absorption field will be 45 feet long and 2.5 feet wide with 6 feet (540 sq.~. effective) of sewer rock. Soils: A test hole was excavated on May 5th, 2010. See the attached soil logs. Ground water was monitored for through May 27th, 2010. Ground water was not observed. A percolation test was conducted at a depth of 5 feet. A percolation rate of 1.9 rain/in was observed. Surface Water: There are no surface waters within one hundred feet of the proposed septic 203 West 15~' Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland~gci.net Environmental Consulting and Design I system upgrade. Topography: The lot slopes to the north and northwest. The maximum slope approaches 40%. Waivers: A separation distance waiver will be required between thc drain field and a slope that is greater than 25 %. The drain field will be perpendicular to the slope area exceeding 25% with the nearest end of the trench ! 5+ feet away fi.om the fi.om the change in grade. The soils are well draining (a percolation rate of 1.9 minutes). The slope is densely vegetated and it is highly unlikely that drain field effluent would ever day light on the slope. I have attached a profile drawing for your review. The installation of this septic system will not prevent wells and septic systems fi.om being installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration ofsurface mnoffwill not result fi.om this installation. If you have any questions or concerns, please contact me at 279-3916. Sincerely, L,~p~!!~ Civil Engineer 203 West 15~h Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland~gci.net ~¥SI S/D I I SPURK~ND ENGINEERING 205 I~ 15171. AVENUE ANON. AK. 99501 (907) 279-3916 ]] VdLLI VUE ESTdTEu~mc STCrCNSJZ BId( fi LOT 9 ] $G41 CROOKED TREE DRIVE, ANCHORAGE, AK 99516 SEPTIC SYSTEM DESIGN DATE: },lAY 27, 2010 SHEET; l/3 GRID: 2539 PERNIT # PID # 015-I£3-48 ValliVueEstate$#2B5tgfll. d,~ 7 VA LLI VUEES JBL£CK 5 / TA TES 9 SLOPE #2 10 INSrALL $-BE'I~O0~ SZ'PrlC IflO0 C,N.I. ON SEPIIO TANK LENGTH 45 ~OTIt 2.5 fl'BT TOT4L DL'PI'H I0 ROCK D~P1H 6 SEPtiC P~R UPO R£OUIR£kI£NTS SPUNK/AND ENGINEERING 203 W 1517l. AVENUE ANCN. AK. 9950l (~07) :79-Sgm SEPTIC SYSTEJt DESIGN DAID tlAY 27, 2010 SHEET: 2/4 GRID: 2559 PERMIT # Plfl # 015-183-48 ValliVue£sta te$#~BSL gBl, dwg Standard Trench~ 45' Long lO' Deep 6.0' Sewer rock 4' Cover NO SCALE // Cteanout ~ ~ Silt Barrler~ 6,0 £t oF Septic Rocl< 1000 gal Septic tank NO SCALE lO0Ogal, septic tank JSPURKLANB ENGINEERING ~03 Vl5th Ave Ancho~oge Ak 99501 P££~IT t ~4f i~ROOKL"D ~ DRIVe, At~tlOR,4fi~, Ali 9~515 SEPTIC SYSTEM DESIGN DATE, SHEET, 2/4 GRID, g~J9 PARCEL 10 t/t 015-123-48 IIAI~IVUEESTATES/2BSLgO3.#wg Municipality of Anchorage Development Services Department Building Safety Division On-Site Water end Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 ww~v cf a~choraee ak us (907) 343-79O4 Soils Log - Percolation Test Performed For: Mark Stevens Legal Description: Valli rue Estates #2 Block 5 Lo~ 9 3- 4- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- s',h COMMENTS Pre-soaked WAS GROUND WATER ENCOUNTERED? NO 8 IF YES. AT WHAT DEPTH~ -- L Reading Date Gross T, me Net Time Depth to Water Net Drop 5/5/2010 10:00 am 0 Min. 10.0 4.75 5/5/2010 10:10 am 10 Min. 10.5 5.25 5.25 5/5/2010 10:20 am 20 Min. 10.75 5.25 5.37 5/5/2010 10:30 am 30 Min. 10.75 5.37 5.5 5/5/2010 10:40 am 40 Min. 10.75 5.25 5.5 5/5/2010 10:50 am 50 Min. 10.75 5.25 5.5 5/5/2010 11:00 am 60 Min. 5.25 PERCOLATION RATE 1.9 (m,~u~e~,~) PERC HOLE DIAMETER 6' TEST RUN BETWEEN 5 FT AND6 FT ~ MUNICIPALITY OF ANCHORAGE .'~% DI~ ,RTMENT OF HEALTH AND HUMAN SEFi ;ES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT N~.~ DISTANCES ~u~ ~ ~ ~/~ ~W~l-b~l~~RO~ SEPTIC ABSORPTION ~ ...... ~_~. _,~ ~ ~~.. TANK FIELD WELL Phone(s)~ ~ ~ -- ~/ Perm~t~No_o[ I~ NO. of~ed~ ..... WELL ~*~ ~c.~,~o. LOT LINE ~ FOUNDATION [~, ~,~. Township, Range, Section ~la~ R3~ S,q- dr'veway~AS~BU~LTD~AGRAM(Sh~w~~cati~n~fwe~~~septicsys~em~pr~per~y~mes`f~u~dat'~n~water hod,es, TANKS ~ ~ TYPE OF SYSTEM original grade ~'r ET ~,O ~ / ~ei length ~ FI G~.~.~ w~dth[i _71 FT ~ 0~' ~ ~ ~ / Number o,, ..... / V WELLS ' // ?. J ~ ~ ~ ~0~, ~ ~r~ ~ Inspections Pe~om/ed by: I - ~~ ~ ~ cmiiy fha this i,specti~n was p~Herme~ ~lunicipal and State guidelines in ellecl 0n this dale: .~ ~/~/~ ~ , 72 013 (3/85} L ~-d(: A L Z ...... :' . ...... ......... ' ' I Y U ~ ,..q 14 (.., ~0 I'* PI G E Depa~ 'lent of' Health & Human SeF'--ces Street, Anchorage, Alaska 99501 [] N '-~ S :[ T E S IE W E R P E R M ): T Permit Number: 880115 Upgrade Date Issued: 0'7/07/88 Engineer Designed Owner Name: ALASKA NOU.~ING F'INANDE CORF'ORA]'IDN Owner Add~-" ~ ............. -' '~..:~,b 8'T'H AVENUE ANCHORAGE, AK 9950 :t-':5615 Parcel Id: 015-12:.:1;--48 Lot L. egal: Subdivision: VALLi VUE ESTATES ~2 Lot: Section: 14 Townsh:i.p.1 12N Range: 3~;W I....~_~t Size .75A (sq. ft. er acres) Max Bedrooms~ 'rhis F'er'mit~ 2. Tot. al Dapacity: 3 9 Block: ..... 1 r,~.C 'I"ANK: Minimum tet,.al septic tank c:aPacity: 1,000 gallons. tank must have at least ~ compartments., Depth te top of septic: {'eet PE~qLIiPes insLtlation over t,:]r]k (s) . Each septic: tank(s) < 4.0 INI::SRM D.H.H,,S. PRIDR TO :[8'1' & 2ND INSPEC]'IONS BY ENGINEER, AFT'ER OFFICE HOURS, CALL ::];4;~;-46S1 AND LEAVE A ME:SSAGE:. CONS TF(UC]- F'ER ENGINE:ERS ATTACHED APPROVED DESIGN. THIS PERMI]" EXPIRES 12/:51/88 THIS PERMIT VALID F[)R A SINGLE FAMILY RESIDENCE ONLY. IF Signed.~ (Owner) I S SL.tl:~d By: I [:ERTIFY THAT: 1.. I am Camiliar .k~ith the requi~-ements f'er' on-site sewers and wells as set ~'ort. h by the Municipality o¢ Anchor'age (MOA) and the State of Alaska. 2. I will install the system in accordance wi*E.h all MOA codes and ~egulations, and in compli,'ance with the design criteria o[ this penmi{. :5. I will adhere t.o all MOA and St. ate o¢ Alaska ~eqt..ti~ements for the set back distances ¢pom any existing well, wastewate~ disposal system o¢ public sewerage system on this op any adjacent op neanby lot. 4. I under.stand that this permit is valid Cop a maximum o¢ 2 bedreoms. I also understand that. the capacity et' the total system is :5 beclr6om~ ancl any en].angement will PeqLtiPe an additional pePmit. PERFORMED FOR: .~ttop Technical Services 14530 Echo Sfreef Anchorage, Alaska 99519 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: 2 4 5 10 IO,, 11 Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT O 17- 18- 19 20 DEPTH? p E Depth to Waler Aller (%nilorinD? '7'. ~e- dO, y Date: (/'~' SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE __ TEST RUN BETWEEN __ COMMENTS -'~3Z't"~'~ ~-'~,tj~' ~ ~:.z~_~' ~ ~ (minutes/inch} PERC HOLE DIAMETER __ =OP TECHNICAL': SERVI CIVIL & ENVIRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS TtIEODORE F. MOORE, P.E. J:YTB(" 5, 1988 14530 ECHO ST. PH: (907) 345-1355 ANCHORAGE, ALASKA 99516 M.O.A. Dep't. of Health and Human Services P.O. Box 6-650 Anchorage, AK 99519 Dear Sirs: We are requesting a sewer upgrade permit for Lot 9, Block 5, Valli Vue Estates #2, as shown on the attached paperwork. The existing system passed a recent adequacy test by A.E.C.S., however a subsequent survey showed that a portion of the field protrudes through a Chugach Electric Association easement and across the east property line onto Lot 10. We propose to abandon in place the 2/3 portion of the field that lies within 10 feet of the east property line, and to replace it with a wide drainfield sized for two bedrooms and constructed at a depth of 11 feet as shown with a two foot thick sand filter. The topography of the site is such that the ends of the drainfield will lie within 5 feet of a break in slope where it starts to drop off to the northwest at 30% to 35%. This should not cause a problem of effluent daylighting for two reasons. First, the drainfield will be at such a depth that there will be a ~ubstantial ,horizontal separation between it and the nearest ground surface at an eaual or lower elevati~on. Secondly, the slope is a heavil~ vegetated natural slope which is no s~teeper than allowed for artificial slopes on mounded s~ems, p Please give me a call if you have any questions. Sincerely, Ted Moore, P.E. /-~ .:F~attop LOT ~/ l~ LOC I,~ ff PLAN NoT~ : 'T'Prt..e '~ NoT / AI..L I. OCA 7' ION.~ Al~z Lot 9, Block 5, Valli Vue Estates Septic System Upgrade Specifications AIl construction materials and practices shall conform with M.O.A. requirements. The wastewater disposal system shall be constructed by excavating a 5 foot wide drainfield in the clean gravel stratum located at a depth of approximately 11 feet. Two feet of medium sand shall then be placed in the bottom of the excavation prior to placement of the one foot thick layer of 1/2 inch to 2 1/2 inch sewer rock containing the perforated distribution pipe. Cleanouts and monitoring tubes shall be installed at the designated locations. The new drainfield shall be tied into the existing trench at its beginning, with a minimum separation of 5 feet and the pipe sloped down as necessary to connect. The existing trench shall remain as constructed, except that the cleanout pipe at the end shall be removed, and the effective length for computation purposes shall be reduced to 7 feet. The construction site shall be graded to neat contours with drainage directed away from the draintield. A 4 to 6 inch layer of topsoil shall be spread over the entire disturbed area. MUNICIPALITY OF ANCHORAGE Hea~'h and Environmental Proter~on Fourth Floor West 825 L Street Anchorage, Alaska 99501 279-2511, x 224, 225 REPORT ON-SITE SEWAGE DISPOSAL 5YSYEM SEPTIC TANK: ~ NUMBER OF DISTANCE FROM WELLL~¢_~.~4~ ....... M, ANUFACiURER_ ~. ~'~_~_..~J~-~_MArERIAL_~_~.~_.I .... COMPARTMENTS INSIOE LENG"FI_ ~ _2 ..... INSIDE WID1 H ~ ..... LIQU'ID DEPTH _~ _~_ t_lOUl[) CAPAClT _~_~GALLONS. tOTAL t_ENGI'N~ DISTANCE FROM WELL ~OUNDATION ~ NEARE.)T LOt LIN OE LINE ~ of Lines L---- DISTANCE BETWEEN LINES ~/a___TRENCH WIDT'~~. IN. TOTAL EFFECTIVE / ABSORPTION AREA_~ ..... SQ. Fl. LEITH OF EACH LINE DEPTII OF f ILTER / h DEPTth TOP OF TILE ]O FINISI{ GRADE _._ ~ _._ MATERIAL BENEATH ]ILE ._.~._ ~IN. ABOVE TILE ~ ~IN. SEEPAGE PIT: DIAMETER -- OR WIDTH__, LENGTH_--, DEPTH Log Crib Rings BUILDING FOL;NDATION ....... Crib Size: DIAMETER ..... DEPTH _ DISTANCE FROM: WELL .. TOTAL EFFECTIVE NEAREST LOT LINE ....... ABSORPTION AREA (WAEL AREA) SQ. FT. Well . Class:~ Depth:_~/~ Well.D~iSt~nce To: Lot Line Bldg. ~/~ Sewer Line: -- Pipe Mat~ls: ~_g,__~_~----~____~ I~: of Bedr?oms~ ?"~ . --, , Installer. Remarks: ~]',~'~-~"~/' ~.. ~'7 'A~ ! ,, E:,:i'H[::FI::i;):!::d=',I :l:::'; Ti-IF: i i:!:i",h"!ii"lJ (]:lq F'i:i:Fi:J::, OF' 'i'Hfi: 'I'P:.'tENC:I'I OI:R E:,I:,:':F:I~NI:t-:fl}:! E:' r)F' i:::i !'i:R[i:Nt:::!.i E!Fi: l:::':i'i :i:Fi: TI-Fi: I::C[F;'i'F!N(:::i:!: liff'!:'i'!.,.!li:!]!:iq Fi'II!: :i!!;LII::~:I:::i:::IE:IE OF: Ti-iE 'Ti. Iii: Fh:Y! FEli=! Cd::; 'i'i'i~E i!::::.::(-.i'::iVF:FF']:ON ,:::l:hi !:::!:::Fi:'l'::,. :!!;l{'J b.i):[::'T,~! i:::'[)F:~ D[Ei:::"ii'i :(:!; 'i'lil:!: i't):N:i:l"lll!"! J:Z:,iEF"FH I')F:' l::fiJ:~:F:tV~:::J I~i=,i':::'YF.IE:P:N 'J-J-l[~: OI.J"!'Fi:::II.t.. i:.',CFj"-il:)J'"i (:d::: ii'ii:i: i::::.::C:F::¢v'I::!T]:ON ,:::iN De~rtment of Health and En~vironmen~ Anchorage, Alaska 99507 ,${)II,S I,O(i I)I':Rf)I,ATION TEST form reports: '- ~]i's-~E- --~ ............... ~]k~- 'Lb~ .................... ' -- Pep t h Feet 2- 6- 7- 8- 9- lO- ll .~2 - 13- If yes, at wila: Was groundwater en, countered? I/Hi,,l.ed~.ll~ Date Gross Time Net Time el)Ul' ~o Warm, Net orop Percolation rdt~ ~ll nute. ' ..... EQ-O,IO (6/74) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street 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 Parcel I.D. OrS- i'~3" L{ ~ '1. GENERAL INFORMATION, .... Complete legal description W,~i( Expiration Date: Location (site address) Current Properly owner(s) Day phone ~,o~5" q25q Mailing address Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address unless Otherwise requested, '~GOSA will be held by DSD for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual Well [] Individual Water Storage [] Community Class . ~, Well ]~[ Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank Community On-site Public SeWer [ I I I 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 reissued for a period of up to one year with valid water samples0 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. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my. investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ~ ~ ~,r~ ,f~, eeC~ ~ _-- Phone ~1'7-?-~1~, · " o Zl ' Address ~D~ kO, t5 AvP.~ ST-'e., ?- Z~ ~n4~oC'%¢f/~-~. Engineers Printed Name L al'T~ Sjoi.,iC ~..jo.r~ Date DSD SIGNATURE t.../' Approved for Disapproved.· bedrooms. Conditional approval for bedrooms, with the following stipulations: By: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X {Rev. 11/05) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: C~ _ ~ :~_/@ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type ~)~t31~'c Date completed. -" Total depth ~ ft. IfA. B, or C provide PWSID # 3,10( 0.5 Well Log (Y/N). -- Sanitary seal (Y/N) ~ Wires properly protected (Y/N) Cased to -" ft. casing height (above ground) FROM WELL LOG AT INSPECTION Date of test ~ g.p.m, g.p.m. Static water level Well production WATER SAMPLE RESULTS: Coliform -- colonies/100 mL Nitrate ~ mg/L ' Arsenic: ~ ug/L 'date of sample: B, SEPTIC/HOLDING TANK DATA Tank Type/Material J~Vl¢~or~.~, T;~w~/ Tank size ~000 gal. Number of.Compartments Foundation cleanout (YIN")"' '¥" :"' Depression over tank (Y/N) /V" 'Date of pumping .. ' ]~ · Pumper C. ABSORPTION FIELD DATA. Date installed (~ilFl~.oIO Soil rating (g.p.d./ft2 or ft2/bdrm) I I ' Length ~ ft. Width 'Z, 5 ft. Date installed Cleanouts (Y/N) High water alarm (Y/N) System type Gravel below pipe (of ~:~ ft. Depression over field For ~ bedrooms New depth-- in. g.p.d. If yes, give date ----- Other bacteria ~ 'colonies/100 mL Collected by: --' Total depth [ [ ft. Eft. absorption area 5~o~ ft~ Monitoring tube ~ Date of adequacy test ~ ~/ Results (Pass/Fail) --" Fluid depth in absorption field before test '-- in. Water added ~ gal. Elapsed Time: '-' min. Final fluid depth -- in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) D. EIFT .STATION Date installed "Pump on~ · Datum E. SEPARATION DISTANCES ,,,,, Size in gallons ./. Manhole/Access (Y/N) "Pump off" level at. ,,,"~ln. High water alarm level at Cycles test.~~ Meets alarm &~ents? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot On adjacent lots "'- On adjacent lots "' 'Public sewer main Public sewer manhole/cleanout ""- Building foundation ~ ~' Water main /O/'/" · Wells on adjacent lots 200 ~4- Sewer/septic service line m Animal containment areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: I Property line ~ + Absorption field Water service line /O ~ Surface water Holding tank '--' Manure/animal excrete storage areas SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line lO ~ Building foundation IO 6+ t Water Service line J 0 -I- Surface water I O0/4- Curtain drain 50 4- · Wells on adjacent lots ~00 ~ ! Water main I 0-/- Driveway. parking/vehicle storage I F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name. L31-,5 Date q/l~/Zolo COSA Fee $ Date of Payment . cei. Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number :.-'LOT · 35, 030 ?~F~ e' LOT /0 Vqti Vue Es7b es Unff No.2 Anchorage Recording District~ AI,aska _LOT SURVEY' CERTIFICATION I hereb~ c~'fif¥ that I hove ~urveyed the I~'ope~fy ehown Qnd described h~ ~d ~t ~ I~ents situated tb~on are within the prop- ert~ I~ and db ~t ~erlaP or ~cr~ch ~"adJacent property and that q~tl~ o~ ~at there are no madways~ utility I~t ~ eth~ Visible ~seme~te m ~id ~o~ es~t ~ I~Joat~ ~rton, Scsle ~- ~-.~, / ~DU Ret. I(te 09-/7-/0 / / ~' co~oN ^ccEss . ~T~%,..**._..,,'~.~ Eesement~ of r~er~ other then t~ LEGEND Brass or Aluminum ceded monument recovered 0 Iron pipe~n~or reber recovered. ~ x ~ h~b & t~ck recowred 5/8" x ~" rebut set this s~rwy . Fence Li~e (Approx. L~tion) Prepared by: ($o7)2~9-e2o0 ~. L. BUTTON Reg/stered Land Surveyor 519 ~ £/ghfh Ave. Anchorgge At~ska 99501 Property of: >A/lqrk Municipality of Anchorage -� 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.cl.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-123-48 HAA # #4oP4 =moi 5 1. GENERAL INFORMATION J'Rp 0 Expiration Date: / C - 31 - O 3 Complete legal description Lot 9 Block 5 Valli Vue Estates #2 Location (site address or directions) 6641 Crooked Tree Drive, Anchoraqe, AK 99516 Current Property owners) Graham & Linda Biddle Day phone 274-9539 Mailing address 6641 Crooked Tree Drive, Anchoraqe, AK 99516 Lending agency Mailing address Day phone Real Estate Agent None Day phone Mailing Address Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class A Well ® Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) 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 private 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 engineers work. ta«. »JM 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. 1 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 Enq. Svc. Phone 272-8218 Address P.O. Box 102954, Anch, AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Date Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. Thesc conditions arc outside the control of the evaluator of this system All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there arc no hidden defects or encroachments. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it confer any legal right whatsoever. 6. DSD SIGNATURE Approved for __ bedrooms. Disapproved. Conditional approval for Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Bye l�� � l✓, Expiration Date: tRw. meat *1 Steven R Fanncne'ti Nc. CE 8149 , bedrooms, with the following stipulations: •.ON-SITE �ycl �_ • VVAILmAND rn= WASTEWATER ' PROGRAM Maintenance Agreements Supplemental Engineers Report Other Original Certificate Date: / O -- 3 /- 0 -2 - Reissue Date: Municipality of Anchorage Development Services Department >' Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 100850 Anchorage, AK 99519.8050 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Descidption: Lot 8 Block 5 Valli Vue Estates No. 2 Parcel I.D.: 015-12348 A. WELL DATA Well type Class A If A, B, or C provide PWSID # 210605 Well Log _ Date completed Sanitary seal _ Wires property protected Total depth ft Cased to ft Casing height (above ground) in. FROM WELL LOG Date of test Static water level It Well production 9 -p.m WATER SAMPLE RESULTS: It 9 -p.m Coliform colons ml Nitrate mgA ymer bacteria colonies/100 ml Date of sampl e: ectad by /// B. SEPTICIHOLDING TANK DATA Tank Type/Material Greer Steel Date installed $125/1877 Tank size 1000 gal Number of Compartments g Cleanouts y Foundation cleanout Y Depression over tank )y High water alarm N/A Date of pumping 8/10/2002 Pumper A+ Pumoina C. ABSORPTION FIELD $ATA 7 Date installed `) 7 9 Soil rating (g.p.dJftZ or 0b drm) $5 & 12a System type Trench/Trench Length 6750' It Width_ It I Gravel below pipe V/.6' ft Total depth 13'ff It Effective absorption area Sit? Monitoring tube Y Depression over field h Date of adequacy test 10/21/2002 Results (Pass/Fail) P - For $ bedrooms Fluid depth In absorption field before test pa in Water added440 gal. New depths in. Elapsed Time: 1 4400 min Final fluid depth Ra in Absorption rate >= 4W g.p.d. Any rejuvenation treatrd iht (past 12 mo.) (Y/N & type) N If yes, give date (Rev.1 t189) D. LIFT STATION Date installed Size In gallons 'Pump on' level at _ in'Pump off" leve Datum CydIa%sted E. SEPARATION DISTANCES i `i9' SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lilt station on lot Absorption field on lot Public sewer main On lots Manhole/Access In High water alarm level at _ in Meets alarm & circuit requirements? _ Pudic sewer manhole/deanout Sewer /septic service line / Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 8' Property line 2Q 'Absorption field 5' Water main 20+ Water service line 20+ Surfacewater 100+ Drainage 100+ Wells on adjacent lots00+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main 20+ Water Service line 20+ Surface water 100+ Driveway, parkinaNehide storage 25+ Curtain drain None Seen Wells on adjacent lots 00 F. COMMENTS Field was modified in 1988 to meet Drooerty line reouirements. G. ENGINEER'S CERTIFICATION I certify that ► have determined through field inspections and review of Muni #W records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone. P.E. Date ! al?WOZ HAA Fee $375 CO Waiver Fee E Dale of Payment �aZO C " ��,�f Date of Payment Receipt Number 2 cwt Receipt Number (Rev. 11=) B orrowerfCli ent: Biddle Property Address: 6641 Crooked Tree Drive City. Anchorage AS -BUILT SURVEY - File No.: 98-1671 Case No.: CHL #2390568 State: AK Zip: 99516 SETT 9Y; S- 0.97 : 1:3wm : SEATTLE IANtTGAM- VALLI VIIE ESTATES UNIT NO 2 LL 9 BLOCK 5 N Off` s: 40- W maims :[16/96 A.L. 'Dv:w++�.I b•cYG�CI+F) Sr1'G I.} 10. ` 1 NtR9GY CERTIFY THAT 1 NAVE EUAYEYED TNC .AS GUILT FOLLOWING D[S011I6I0►OOW9QTY+lam-1-g $TOCK. S VALLI Vw: EgAT£S U.IIT/&-4 ,AIMALG G71 Itl,A. AAATSU�,ALA _ AND THAT No SwCROACNNtNTG[RI[T[[Ol/ WI 1111(1116 GAY aur ""MAGG,ALAGCA GUIs As INOICATED.IT U TH[ AEGFONSISILITY OFl TN[ OWNER TO 6gYE1161I49 TME [RIGTENCI OF V96 Gu. q,G ANY[AS[Y[MTS, Gg1IlNAN TS, OR RESTAICTI011 . WHICH 00 NOT AH[AA ON THE RECORDED SUS- MA�A GATS•B/�' -IO-$IB 1 DnHG1ON ►LAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA REGION G[ Ul[0 FON ION- : STAUCTION OR ION ESTASLISNINE lOUNDAAY IMICGIG G,• Sam Z9;2i b , 64 FENCE LINSI. ..MUN CIPALITY, OFANOHORAGE ' ' DEPARTMENT OF"HEALTR ~. ~J ~IAN sERvicEs ' Division of Environmental Services . ~ On-Site Services'S~t'ion P.O. Box 196650 Anchorage, Ala~k~ 99519~6650 MUNICIPALITY OF ANCHO.,RAO~ ENVIRONMENTAL SERVICES DIVISION 848-4744: CERTIFICATE OF HEALTH AUTHORITY APR 0,~ 1997 APPROVAL FOR A SING[EFAMILY DWELLING .:: ' 1. GENERAL INFORMATION Complete legal descriptic~n Location (site address or directions) Property owner Mailing address Lending agency I,J Mailing address Agent ~ ~.~ ~E~/-- Address Day phone Day phone ~ ,-; Day phone ~J'(.,~- Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: _~ 1 TYPE OF WATER SUPPLY: ndividual well Community well Public water NOTE: If community well system, provide written confirmation from State'ADEC attest- lng to the legality and status of system. ~- ~ - TYPE OF WASTEWATER DISpOsAL: ndividual on-site Ho d ng tank Community on-site Public sewer NOTE:. If community wastewater system, pro~ide Written confirmation from State ADEC - .: -- ': attesting.to the legality and status of system. . ' 72-025 [Rev, 1/91) Front MOA#21 5. S"I'ATE,~/IENT OF INSPECTIO~.~ 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 disposa~ system is safe, functional and adequate for the number of bedrooms and type of structu re indic,'-.~ted herein. I further verify that based on the information obtained from ii~e iviunicipatity o~ Ancho~'age iiies and from my investigation and inspection, the on-site water Supply a~d/or wastewater disposal system is in compliance with all Mu!~icipal and State codes, Ordinances, and regulations in/~;~t~,~o~i-&e date of this inspection. Wastewator Services /~ Name of Firm 8471 Brookri,d, ge br. ill Phone AnCll., 99504. ~' I Address Engineer's signature Approved for ~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: The Municipality ~f Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DH HS 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. Legal Description: Municipality of Anchorage V/~\j~ DEPARTMENT OF HEALTH & HUMAN SERVICES R E CE I Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343~4 ~ 1997 Health Authority APproval Checklist Municipality of Anchorage ~ Z Oept~ Health ,&_H,u~an Service~ /~>-,~/'j ¢~ _,) V'A-cz~ ¢~.E F---/g~''~ Parcel I.D.: ¢1,~- _ / ~.~ ,d~ A. WELL DATA Well type C~O~'4 If A, B, or C, attach ADEC letter. ADEC water system number ) :: _ Date completed Sanitary seal (Y/) ~"~ Cased to___ Date of test , ~ ~ water level ~ ' Static Well production '~:~ ..: ~ g.p'.m."~"'~_ g.p.m. WATER SA~: ~~-Ie: Nitrate._ Collected~ Other bact~3'i~ . B. SEPTIC/HOLDING TANK DATA Date installed ~g>/-'/'7 Tank size Foundation cleanout (Y/N) Date of Pumping C. ABSORPTION FIE~.D DATA Date installed/ Length ~/'~'~ ' Width /g~::::tO Number of Compartments '~ Cleanouts (Y/N). Depression (Y/N) A Jo High water alarm (Y/N) Pumper. Soil rating (g.p.d,/fF orfF/bdrm) 1~,~- /- '7 Gravel thickness below pipe Effective absorption area ~z~ -~,r'Z'Monitoring Tube present (Y/N) Date of adequacy test $/~.¢'/'5'7'' Results (Pass/Fail) System type Depression over field (Y/N) For ~.~ bedrooms Fluid depth in absorption field before ~est (in.); =5 ~ ~' Immediately aftergk'~'' ~lal. water added (in.):. '7 ~" Fluid depth ~ ~' (ins) Minutes later: (30 Absorption rate - -~' ~) q.p.d.. Peroxide treatment (past 12 months) (Y/N) ~j~ ~c~,,,,/ If yes, g ve date . 72-026 (Rev. 3/96)* Manhole/Access (Y/N) ~ "Pump off level at* E~N DISTANCES · SEPAR~ES FROM WELL ON LOT TO:~ Septic/holding tank on I~t"~'"~~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK 'ON LOT TO: Foundation ~/~ Properly line ~O / Absorption field Water main/se~ice line ~o ¢ Sudace water/drainage ~ I ¢0 / Wells on adjacen( 10ts Property line Sudace water Curtain drain Nc*,,~ I¢-~c,~v,,J F, ENGINEER'S CERTIFICATION SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: lO t ~ ~uilding foundation / O/± Water main/service line ~" IOO DrivewaY, parking/vehicle storage area Wells on adjacent lets ~- I certify that I hay Signature Engineer's Name Date Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Water & Wastewatelr 8471 Brookridge Drive ~ Anchorage ~ Alaska 99504 Phone (907) 33%6179 ~ Fax (907) 338-3246 Consulting Engineers April 1, 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: HAA for Private Septic System and Community Well. Lot 9, Bk 5, Valli Vue Estates #2 S/D. To whom it may concern: The subject lot has a 3 bedroom house on it which is served by a private septic system. The system consists ora 1000 gallon septic tank, and a trench type dralnfield. The results of the field investigation and adequacy tests are summarized as follows: A: SEPTIC TANK: The existing septic tank ~as i~stalled_in August of 1977 (19.5 years old). According to the M.O.A records, it is 1000 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. B. TRENCH SYSTEM: The drainfield consists at'two trench systems. The first trench is a 6 foot long segment with an effective depth of 8 feet (96 sq. ft.), and the second trench is 5 feet wide, 50 feet long, with an effective depth of .5 feet (250 sq, ft.). Because there is no mo~fitoring tube in the first trench, I only evaluated the absorption capacity of the second trench. Adequacy Test: The liquid level in the M.T., prior to the adequacy test, was approximately 3.625 inches deep. Water was added to the sump at a rate of 8.05 gpm for 56 minutes (451 gallons), and the level rose 4 inches, which corresponds to 112.8 gallons per inch. Approximately 60 minutes the liquid level dropped 4 inches (complete recovery). Based upon this data, it was determined that the absorption rate of the trench exceeds 450 gallons per day, as required for a 3 bedroom house. 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. Sineerely,~ Je~efl ~. GaX~ess, p.E., M.S. Principal 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 O~requency of septic tank pumping, usage of biological additives), condition of drain pipe and pipe joints (which can be damaged by seismic activity and deteriorate with age), type of s:ubstances deposited in septic system (cigarette butts, sanitary napMns, 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. Mike Kelly, owner/agent of property 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) (b) Property Owner ~/¢FC Telephone: Home (c) Lending Institution ~. ' Telephone Mailing Address (d) Real Estate Company and Agent ~[~ C~f -- Address ~00 ~({ ~ ~or~ Telephone ~ ¢~- 0~01 Business Mail the HAA to the followina address: or: Check here J~, if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single-Family [] Number of Bedrooms' WATER SUPPLY Individual Well [] Community ~r 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 [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page I of 2 72-025 IRev 8/861 Front ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Nameof Firm j~'(~ ~'~CJ/,~c~' ~-~c~r~"~¢~' Telephone ~'~"- I~ Address /~ ~o ~ ~C~ ~ ~l~ Date ~ ~ ~ DHHS APPROVAL Approved for ~>J~ {~-~,¢,,)bedrooms by Approved ~ Disapproved Terms of Conditional Approval __ Conditional CAUTION The Municipality of Anchorage Department of Health and Human Services /DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 IDev 8/86i Back A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4744 Legal Description: Well Classification Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments ~ ~C If A, B, C, D.E.C. Approved (Y/N) Date Completed Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/HOLDING TANK DATA Date Installed c~'/E.,,q'/ 77 Standpipes (Y/N) ~ Depression over Tank (Y/N) ~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: Air-tight Caps (Y/N) Size I000 ~! No. of Compartments ~' Foundation Cleanout (Y/N) Y Date Last Pumped -¢'/~'/~'~ ; for N,/J. Temporary Holding Tank Permit (Y/N) To Water-Supply Well To Property Line To Water Main/Service Line Course · To Building Foundation ~'' To Disposal Field ~' ' To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72 026 (Rev 8/861 Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~/2¢-['r'/ Width of Field 3-rCn¢fi ~., Drcf,,~,,~'f~( ,~-'7' Depth of Field "rc~,~¢--~ Gravel Bed Thickness Square Feet of Absorption Area ~ 4' ~',¢'¢2 '~ ~;Y~¢' Standpipes Present (Y/N) Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: Type of System Design Length of Field ~4 ~ To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments Date of Last Adequacy Test To Property Line /O ~' To Existing or Abandoned System on Adjoining Lots ~' ~ ~' *' To Cutbank (if present) /*l~/~. D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Pbrmitted 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 ,'~~ ~, ,,,¢¢t¢..~_ Date Company ~('~ ~"~¢'~ .¢~c.¢ MOA NO. _ Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 fRev 8/861 Back Engineer's Seal ANCHORAGE, ALASKA 99503 STEVE COWPER, GOVERNOR 563-6775 DATE: August 8, 1988 PWSID: 210605 To Whom I~ May Concern: According to the records on ?ile in this o??ice, the VALLI-VUE SUBOIVISION Water System is in compliance ,with the State o? Alaska Drinking Water Regulations. Please note that departmental records indicate that the public water system was installed prior to the 1978 implementation o? the Alaska Drinking Water Plan Review regulations. No as-built plans have been reviewed or approved by the department, nor are any necessary. Since the system has submitted acceptable water samples on a regular basis and received a satis?actory sanitary survey evaluation by the department, the system is acceptable under the standards in e~ect at the time o¢ installation. An o~icial "Certificate to Operate" may be issued upon receiving a complete set o~ as-built plans. Any expansion o? the water system a~ter 1978 will require plan review and the issuance o¢ a "Certificate o~ Operation" permit. Sincerely, Michael P. Lewis Environmental Engineer 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 ~'~'~ / ~' 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Locatio~ (address O'r directions) Mailing Address . Telephone: Home Business (c) Lending lnstitdtion Mailing Address Telephone (d) Real Estate Company and Agent Address (e) Telephone Mail the HAA to the followina address: or: Cheek heretiC(if hold for pick up. List ,,,~erson and ~a~y~ohon~ nu~nber below. 2. TYPE OF RESIDENCE Single-Family~° Number of Bedrooms WATER SUPPLY Individual Well [] Community'k~ 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 [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page I of 2 72 025 IRev 8/86) Fronl ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compJiance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm - Address /,~-~'0 ~J ..~-.~"~ Date Approved for ~ bedrooms by Date Approved ~ Disapproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS does th is 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. Page 2 of 2 72-025 fRev 8/86) Sack A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOL/ HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: '~'¢'~"' ~ "7~/~ Well Classification Present (Y/N) Casing Heigl 3und Electrical Wiring in Separation Distances from Well: To Septic/Holding Tank on Lot TO Nearest Edge of Absorption Field on Lot If~g B, C, D.E.C. Approved(~N) Date Completed Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test ResuJts To Sewer ,ice Line on Lot ; Date Comments B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes ~) Air-tight Caps') Depression over Tank (Y~ 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 To Water Main/Service Line Course Size /¢JZ~f-) No. of Compartments Foundation Cleanout(~N) Date Last Pumped ~---~¢~' /-'~,/~ ;for /..//~4 Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page I of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~' ~ ~--~'~ Width of Field Square Feet of Absorption Area ~-~ Depression over Field (Y,~_ Results o! Last Adequacy Test /¢~:r'~ Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field ~ Depth of Field /~'~ Gravel Bed Thickness ~ Standpipes Present ~q) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots ,/~ To Cutbank (if present) Comments D. LIFT STATION '~ :_ Dimensions ~ze in Gallons ~~Manhole/Acc~ss (Y/N) "Pump On" Level at ~ "Pump Off Level at High Water Alarm Level at -~.~Vent (Y/N) Tested for __ __ Pu~during Adequacy Test. Meets MOA Electrical Codes (Y/N) ~ Comments ~~ ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have .¢pee, X~d, verif)ed, or conformed to all M CA and HAA guidelines in effect on the date of this inspection. Signed /,-'~--'~ ~ ~/~"'~"~ Date Company ,/'~'"/¢ MOA No. Receipt No. Date of Payment Amount: $ os Page 2 of 2 72-026 (11/84) ANCHORAGE/WESTERN DISTRICT OFFICE 3601 C STREET. SUITE 1334 ANCHORAGE. ALASKA 99503 STEVE. COWPER, GOVERNOR 563-6775 DATE: __~£~5Z_~_~ ........ PWSIO #: _~_A~BZl~ .......... To Whom It May Concern: Accordinq to the records on ?ile in this o??ice, the __qJ_~&[~ ..... _~_~ .... ~J_~_ ........... Water System is in compliance with the State o~ Alaska Orinking Water Regulations. RSK:sa Sincerely. Environmental Field O~ficer · DATE RECEIVED ~ INSPECTION APPOINTMENTS TIME TIME TIME MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & (/~,~,~, 82B L Street - Anchorage, A~aska 99501 [viAY 6 1981 ENVIRONMENTAL SANITATION DIVISION RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES TREET LOCATION ?r c-Or, TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY 7. WATER SUPPLY [] INDIVIDUAL* COMMUNITY PUBLIC UTILITY NUMBER OF~BEDR~OMS ~ One ~ Four D Other ~ Two ~ Five ~ Three ~ Six * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drifted prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM % ,.D,V,DUAL.ON-S.TE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. 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 UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVI DUAL/ON -SITE DATE INSTALLED Connection Verified INSTALLER []Septic Tank _or []Holding Tank Size: f/f~2~.2(~.) If Tank is homemade SOILS RATING give dimensions: TOTAL ABSORPTION AREA MATERIAL/ .4~.~~'~T"-~..A...¢~~ 4, DISTANCESwELL_FO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [~'~'APPROV E D FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ///~ 72-010 (Rev. 6/79) 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. PROPERTY OWNER MAILING ADDRESS 2. LEGAL DESCRIPTION 3. TYPE DWELLING '~3.~ SINGLE FAMILY RESIDENCE MULTIPLE FAMILY RESIDENCE OTHER (Describe) 4, WATER SUPPLY I'NDIVIDUAL COMMUNITY/PUB LI C 5, SEWAGE DISPOSAL )~.,~ INDIVI DUA L/ON-SITE ED PUBLIC UTILITY [23 HOLDING TANK (Maintenance Required} /~//APPROVED FOR BEDROOMS ED CONDITIONAL APPROVAL (See Attached) ED DISAPPROVED SEAL DATE 72~)14 (3~78)