HomeMy WebLinkAboutVALLI VUE ESTATES #2 BLK 3 LT 45Valli Vu
Block
Lot
45
#015- $22-18
MunMpalh~ of Anchorage:
Development Services Department
Budding Safely Division
On-S;te Water and Wastewater Program, 4700 $.
Page
I
P.O. Box 196650 ~nchorage. A~ 99519-6650 of"~
www.d.anchernge.a[us (907) ~4~-7504
ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELl. INSPECTION REPORT
I1~ Z4z~r~O~ q?~l[- ~ ~ ABSORPTION FIELD
w.~,.
SEPARATION DISTANCES ~s~ O m~,, D s.~.~m. ~ ot~
Tank Field $ta~on Tank
Lo{ t,J¢4
S & S ENGINEERING
,ns-ec'i ~ .- 170~4EaglaRIvarLoopRead, N~ ~ 1"
p ~ ons penormea oy: Eagle RI,,,, Alaska ~$~ uates.
2
Deve~opmen~ ~e~ices De~men~ A~prowl
~v,i~,~/ed and approved by: ~ Date: I~/~/~
PERMIT NO. SW020362 PACE 2 o~' 3
Municipg!,J~y oF .A?c:h.o..r'gg.e,
DEPARTHENT OF 'HEALTHANI.) HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
· P,a. Box 196650 e..A~chop~ge, A.~l~sk(l 99519-665.0e Te.l.e, pho,~e:. 343-4744
ON-SITE WASTEWATER DISPOSAL :SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 45,
BLOCK 3, VALLI VUE ESTATES #2 P.I,D. NO. 015-322-18
LOT 44
SUMp~SUMP
TN~,
MT1 .'.' DBL2
NEW 1000 GALLON
HOPE SEPTIC TANK
LOT ,5
LOT 4
PERMIT NO. SW020562 PAGE 5 OF 5
MuniciDotit:.._TY_gP
DEPARTHENT OF HEALTHAND HUMAN SERVICES
ENVIRONHENTAL SERVICES DIVISION
P.D. Box 196650 eAncho,"o, ge, Ato. sko, 99519-6650 · Teleohone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 45, BLOCK 5, VALLI VUE ESTATES #2 P.I.D. NO. 015-322-18
ST1 ST_~- 99.7'
FINAL GRADE-/
~-2" INSULATION
/
94,5'~4.2'
SEPTIC TANK
FINAL GRADE/
IV[T1 =87.7' ~
MT2=8'7.5'
CO1 =99.4'
C'~_.. CO1 =93.7'
C02=93.5'
·
NO WATER FOUND
81.0' B.O.H.
A B C
ST1 14.O' 17.5' -
ST2 12.O' 20.0' -
TMT 15.0' 21.5' -
DBL1 10.5' 28.0' -
DBL2 10.5' 28.5' -
CO1 22.5' - 20.0'
MT1 25.0' - 22.5'
CO2 40.5' 44.5' -
MT2 59.5' 45.0' -
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Sep 18, 2002
Expiration Date: Sep 18, 2003
Permit Number: SW020362
Legal Description: VALLI VUE ESTATES #2 BLK 3 LT 45
Design Engineer: 0003 S & S Engineering
Owner Name: Joseph Julian
Owner Addrass: PO BOX 113283 Total Bedrooms: 3
ANCHORAGE, AK 99511-3283
Parcel ID: 015-322-18
Site Address: 010511 LONE TREE DR
Lot Size: 20488 SQ. FT.
Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well
[] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By: ~-,,'~2 ~
Municipality ot' Anchorage
DeOelopment Set, ices Department
Building Safely Division
On-Slie Water end Waslewater Program
4700 South Bragaw SI.
P.O. Box '196650 Anchorage, Al< 995t9-6650
www.cl.enchorage.ak.us
(907) 343-7904
ParcelI.D.
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
0 / ~'- ."."~'Z.~." /~ Permit Number SWO20~Z.
Property owner(s)
Mailing address (t)
Mailing address (2)
Legal description (Lot. Block & Sub'd.)
Legal description (Section. ToWnshlp & Range)
Lo s ze ?.ot
Day phone
?HIs A~,PLIcA'rloN Is FoR:
Sewer Only
Sewer and Well
Sewer Upgrade
.tHis PROPERTY CONTAINs:
Ho{ Tub
Swlmmlng Pool
'therapy Pool
Zip Code
Humber of Bedrooms
Well Only
Water Storage
Jacuzzi
Water Softenlng Unit
[]
I ceH, l[y that the above Information Is correcL I fur[her ced(fy that thls application Is being made for a
Slngle Famlly DWellln§ and Is In accordance with applicable Idunlctpal Codes.
'~2 ,~ ,- S & $ ENGINEERING
(Slgnalure of property owner or authorized agent) 17034 Eagle River L~op Road, Ne. 2~l
Eagle River, Ala~,ka 99577
i~ermtl Fees:
Date of Payment:
Receipt Humber:
(Rev.
Walver Fees:
Dale o{' Payment:
Receipt Humber:
September 12, 2002
MUNICIPALITY OF ANCHORAGE
Development Services Department
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 45, Block 3, Valli Vue Estates Subdivision//2
ROBERT C. COWAN, P.E.
CIVH. ENGINEERS
(9O7) 694-2979
FAX (907) 694-1211
It is requested that you issue a permit to upgrade a septic system to serve the existing
three bedroom dwelling on the referenced property. A waiver of 15 feet is also
requested between the existing trench & the proposed trench.
One test hole was excavated and a percolation test was performed on 8/30/02. The
approximate location ofthe test hole is located on the attached site plan. Ground water was
monitored and after seven days the test hole was dry as shown on the attached soils logs.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any ofthe adjacent
properties.
If you require additional information, please contact us.
Sincerely,
Robert C. Cowan, P.E.
RCC/jhm
Enclosure
17034 NORTH EAGLE RNER LOOP · SUITE 204 ', EAGLE RNER. N.A~KA 99511'
LOT 45, BLOCK
J.H.M.
DESIGN CRITERIA:
a BDRM -- 450 OPD
SOILS ~ 0.6 GPD/SQ.~'T.
450/0.6 = ?50 Sq,FT. Rgq'D.
TRENCH CRITERIA:
13' DEEP
6' EFFECTIVE
3' WIDE
63' LONG
Z
ALL PORTIONS OF SYSTEM
WITH LESS THAN ,5.5' OF
COVER REQUIRE INSIJL~TION.
~, VALLI VUE ESTATES S/D
R,C,C. 9-12-02 I OF
FRED WALATKA
44
5
EXISTING TRENCH
(TO BE RETAINED
FOR FUTURE USE)
CONTRACTOR IS REQUIRED TO
Oi~TAIN U~MTY LOCATES
PRIOR TO ANY EXCAVAT{ON
WORK.
'~ PROPOSED
~-xu~'/TR£NcH
, ~?s~ INSTALL
! 2 DIV£RT£R
~. VALVE
~ DOUBLE
~ CLEANOUT~
PROPO~[O
' I000 GALLON
~ ~ HOPE SEPTIC
~ TANK
~ EXISTING
/ CRUSHED &
/ ..........
J.H.M J R.C.C.
DESIGN CRITERIA:
3 eDRM = 4S0 GPD
SOILS = 0.6 GPD/SQ.FT. '
4~o/o.6 = 750 sq.rr. REq'D. /
/
TRENCH CRITERIA:
13' DEEP
6' EFFECTIVE
3' WIDE
LOT 45, BLOCK 3, VALLI VUE ESTATES S/D
9-12-02 2 OF 2
EXISTING TRENCH
(TO BE RETAINED
FOR FUTURE USE)
(9o7)694-2919
63' LONG
II ~ PROPOSED
"" ~-'~ ~.~...38' ~L--~-'"'"~I 4~ /RE
-
-DC
~ ~~~ CL
1000
HDPE
TANK
TRENCH
INSTALL
DIVERTER
VALVE
I DOUBLE
CLEANOUT
PROPOSED
GALLON
SEPTIC
STR~CTURES. EASEMENTS, OR ENCROACHMENTS
SIlO ~N ON THIS SITE PLAN ARE AS SHOWN ON
AN aS-BUiLT SURVEY DRAWN BY:
FRED WALATKA
IT [.~ THE RL~PONSIBILTY OF THE CONTRACTOR
TO ~ER{FY E,~SEMENTS. REQU{RED SEPARATION
DISTANCES. AND PROPERTY UNES PRIOR TO
CONSTRUCTIOI.
CONTRACTOR IS REQUIRED TO
OBTAIN UTILITY LOCATES
PRIOR TO ANY EXCAVATION
SEPTIC TANK J woRK.
(TO BE PUMPED,
/ CRUSHED & I
ALL PO,,,ONS oF sYsT[~ ~ EXISTING ABANDONFn~ I/
,,
WITH LESS THAN 5.5' OF /
COVER "£QUlR[ INSULATION. ~ WAT E R LIN E
Municipality of Anchorage
Development Services Departmenl
B ~ld'mg Safety ~
OmS[le Water ~ Wastew~ter Pro, ram
4700 South Bragaw SL
P.O. Box 196650 Agcho~ge, AK 99519-.~650
wve, v
Soils Log - Percolation Test
Performed For:. ~' 0 ~-
LegalDescripUon: LO7' H*.,~" J~L~" .~' V,~r4.1 ~/~,/f... EI;r~rT~ownshlp. Range, sact:e~:
Slo~e
~t)
1-
4.
5-
7-
8-
9-
10-
20-
G ~' O ~G,4,v~ C j'
WAS GROUND WATER
IF YES, AT ~T DEP~
&1onItorlng?
Date: ~/~/, ~
Reading Date
$
L
0
P
E
Gross Time Net Time Depth to Water Net Drop
3 0 30 ~,,,, ~" "~ ."
30 - ~ %" -
G 0 20 ,~,,,, '*7 ~1,~"3. *
~ 0 30 ~.,~ ~" ~."
COMMENTS
PERCOLATIONRAT_= ~ ~" p~k~,ec,~) PERCHOLEDIAt4ETER . ~ ,~/
TEST RLRq BE'P/VEC. N --J '/~ FT ANO~I/;~.FT
ON-SITE WASTE~VATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
· MATERIAL SPECIFICATIONS
REFERENCE: Lot 45, Block 3, Valli Vue Subdivision//2
September 12, 2002
GENERAL:
ROBERT C. COWAN, P.E.
CML ENGINEERS
(9o7) e94-2979
FAX (907) 694-1211
The scope of this project includes the installation of a 1000 gallon Premier
polyethylene septic tank and a new trench to serve the existing three bedroom
residence located on the referenced property.
Construction shall be in accordance with the approved site plan and design
drawings, Municipal permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
The contractor shall be responsible for obtaining any necessary underground
utility locates.
Unless specifically agreed otherwise, the property mvner shall be responsible
for final grading areas subsequently depressed from soil settling.
Contractors installing wastewater disposal systems must be certified by the
Municipal Health Department for system installations. Owners installing
their own systems must also receive prior approval frt/m the Municipal Health
Department.
SEPTIC TANK INSTALLATION:
A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
7034 NORTH EAGLE RIVER LOOP · SUffE 204 · EAGLE RIVER. ALASKA 99577
Page 2
Lot 45, Block 3, Valll Vue $/D #2
September t 2, 2002
All standpipes on the septic tank shall extend a minimum of 12 inches above final grade.
Septic tanks installed with less than 4 ft. ofcover shall be insulated.
A foundation cleanout shall be installed one to four feet from the building foundation. In
the line between the tank and the leachfield there shall be two adjacent cleanouts (unless
an effluent pumping system exists within the septic tank). These cleanouts shall be
located on undisturbed soil not more than 10 ~. from the tank. The first cleanout, in line,
shall be to clean toward the leachfield. The second cleanout shall be to clean toward the
septic tank.
Final grading over the septic tank shall be such that a positive slope exists away from the
septic tank.
ABSORPTION TRENCll/DRAINFIELD ]INSTALLATION:
Excavate the proposed trench to the dimensions shown on the design. The bottom ofthe
excavation shall be within 2 inches of level. If the sidewalls of the excavation become
smeared, they must be raked or scratched (rafted-up) before gravel (sewer rock)
placement.
Once the gravel is installed, the distribution pipe is to be installed level with the
perforations faced downward. Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
A silt barrier must be installed between the final gravel layer and the native soil backfill.
Ensure the silt barrier covers the entire gravel surface before placing backfill.
Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations
shown on the design, and extend a minimum of 12 inches above final grade. The portion
of the monitoring tube extending through the gravel shall be perforated from the bottom of
the trench to the invert ofthe distribution pipe. This is equivalent to the effective depth of
the gravel as noted on the design.
Backfill over the final gravel layer must not be less than twenty-four (24) inches.
Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The
finish grade over the trench must be mounded to prevent the formation of a depression
after settling.
Page 3
Lot 45~ Block 3, Valll Vue B/D #2
September 12, 2002
MINIMUM MATERIAL SPECIFICATIONS:
!. Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
Type of Pipe
Cast Iron
ASTM D3034 (PVC)
ASTM FSI0 (HDPE)
ASTM D2662 (ABS)
Perforated Solid
Yes Yes
Yes Yes
Yes No
Yes Yes
Use of a type ofpipe other than listed above must be approved by the inspecting engineer.
Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or
equal).
A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed
between the final leachfield gravel layer and the native soil backfill.
All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the//200 sieve.
When sand is being used as a filter material, its gradation specifications must conform to
current M.O.A. or D.E.C. requirements, which ever requirement applies.
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of the
wastewater disposal system. These inspections will occur as follows:
Page 4
Lot 45, Block 3, VaUl Vue B/D #2
September 12, 2002
The first inspection must be conducted after the excavation of ditches, pits,
trenches, or beds and before the installation of any gravel. A septic tank may be
set in place, but may not be backfilled before this inspection.
The second inspection must be conducted after the placement of the silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement of any other backfill.
3. The final inspection is to occur upon final grading ofthe property.
Often there will be more than these 3 inspections required. Especially with the installation of
multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer
is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-
construction meeting will take place on-site. The inspecting engineer will not coordinate, direct
or control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these specifications
and plans and in accordance with the attached M.O.A. permit. There will be no contractual
arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be
the owner's representative and will inspect the work as stated above to document the contractors
activities. Final acceptance of the contractors work rests with the owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor to
carry out the work in accordance with these construction documents. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR / INSTALLER
GREJ, ANCHORAGE AREA
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME ~) ~'0¢¢'~
LOCATION
SEPTIC TANK:
DISTANCE , NUMBER OF
FROM WELL bO" ~ MANUFACTURER ~4~¢,¢'- MATERIAL 1~'¢,¢~f COMPARTMENTS
~ LIQUID DEPTH ~ LIQUID CAPACITY /~)~10 GALLONS.
INSIDE LENGTH
INSIDE WIDTH
DISTANCE FROM WELL '~:~)'~FOUNDATION ~"~(~/
NUMBER OF LINES '~-'- DISTANCE BETWEEN LINES
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
TOTAL LENGTH
NEAREST LOT LINE ~'~'~ ! OF LINES
~ TRENCH WIDTH'~ ~ IN. TOTAL EF~FECTIVE
SQ. FT. LENGTH OF EACH LINE / ~ [qr / ~ ~2!
DEPTH OF FILTER
MATERIAL BENEATH TILE [0 ¢ ~q~. ABOVE TILE '~ IN.
WELL:
TYPE ~/~;~¢4 fi3 Q ~4 ~ CONSTRUCTION __ DEPTH _
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION__ LOT LINE SEWER LINE TANK__ SYSTEM
CESSPOOL
OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCE FROM:
DISTANCES:
INSTALLED BY:
SEWER LINE DEPTH:
PIPE MATE RIAL:
LOT SLOPE:
REMARKS:
Form LQ-032
DIAGRAM OF SYSTEM
NAME OF APPLICANT
' NSTALLATION LOCATION
GREATER ANCHORAGE AREA BOROUGH -
3330 "C" STREET ANCHORAGE. ALASKA 99503
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
iNSTALLATION OF: SEPTIC TANK /®
TYPE AND SIZE OF FACILITY TO BE SERVED
MAILING
ADDRESS
SEEPAGE PIT
DRAIN FIELD OTHER
FINANCED THROUGH
TO BE INSTALLED BY
NOTE~ THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCES, REQUIREMENTS
SEPTIC TANK SEEPAGE PIT
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
, DRAIN FIELD
SEEPAGE Pit ~ IOe
ALSO CONSIDER AREA WELLS.
SEEPAGE PIt ~'~
SEPTIC TANK. ~----~/~ t , SEEPAGE PIT TO RIVER, LAKE, STREAM.
· DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP Of
EXCAVATION 5 FEET iNTO UNDISTURBED SO]L.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVAI3LE CAPS.
GRAVEL BACKFILL ~,,~,~'~
CONFORM TO BOROUGH REGULATIONS DI G INSTAL O .
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE With SAID CODE,I_ //~ *~///~
Performed For
Lenal
This
"On~ test is ~orth a ~ho~sand
Glacier Excavating Date Performed
Description: Lot 45 Block 3
~orm Re~orts Soils Loq YES
5/21/75
Subdivision V~ll~ View Subd.
Percolation Test.
~eoth
Feet
Soil Characteristics
Overburden (ML)
2
3--
4--
5--
7__
10--
Gravelly Silty Sand
SM-250
Through out depth of test hole
(Occasional cobbles)
Was Ground Water Encountered?
I~ Yes, At what Depth?
Reading Date Gross Time Net Time Depth to H20 Net Drop!
Percolation Rate Minute
Proposed Installation: Seenaoe Pit Drain Field
Deoth of Inlet Depth To Bottom Of Pit Or Trench
CnH~ENTS: 250 Squ~re feet drainage ~re~ r~q~red p~ h~rnnm
NO bedrock or ground water encountered
Test Performed By
/ James D. Mack
Data Certified B~:CONSTRUCTION TEST LAB
Date: 5./22./7K
~.~~' -~ ~MUNICIPALITY OF ANCHORAGF~ '
~'~'~.~C ~ DEPARTMENt .' HEALTH AND ENV!RONMENTAL_,'ROTECTION ,
~~,~,,¢ .~....- 825 L Street, ~chorage, Alaska 99501
[L~)]3~~ - ~ 279-2511, ex~. 224, 225
~ ~,~j~ A..~ ~' Date Received: 'arch 14, 1977
Inspection: Time ;l:~ 2nd Inspection: Time
.nspec'o, ~' Inspector-
REQUEST ~OR APPR6VAL OF INDIVIDUAL SEWER AND WATER FACILITIES
Lending Institution Request: First National Bank of Anchorage
Mailing Address: Post Office Box 4-20'90 Phone: 274-1521
2. Property Owner: John/Muriel Henry Phone: 789-28'83
Mailing Address; Post Office Box 744 Douglas, Alaska 99824
Contact: Mike Messick, Dynamic Realty 279-~611
3. Legal Description: Lot 45 Block,~'Valli Vue Estates ~2
10511 Lone Tree Drive
4. Single Family Residence: (X) Number of Bedrooms:
?
Multiple Family Residence: ( ) Number of Bedrooms:
Well Data: Type Community Depth Well Log Filed ( )
Construction Bacterial Analysis
Sewage Disposal System: On-site system Ix) Public Utility ()
Permit a Installed Installer
Septic Tank Size
Manufacturer
Absorption Area Soils Rate Material
Distances: Well ~o Septic Tank
to Sewer Lines Nearest Lot
Absorption Area ~o Nearest Lot Line
Line
to Absorption Area
~age ~wo
Department of
k~quest for Approval
Health and Environmental Protection
of Individual Sewer and Water Facilities
Legal Description: Lot 45 Block 2 Valli Vue Estates ~2
Comments:
Affadavit Attached: ( )
Letter Attached: ( )
Disapproved:
Date:
Date:
Department Worksheet:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO VA FHA
2. Property Owner: John and Muriel Henry
Mailing Address: P;O. Box 744 Douglas Ak. 99824 Day Phone:
3. Name of Buyer: Joseph C. & Ellyn W. Julien Jr,
Mailing Address: 1922 East Logan Day Phone:
4. Name of Lending Institution: First National Bank of Anchorage
Mailing Address: P.O. Box 4-2090 99509 Phone:
5. Name of Realtor or Agent: MiMe Messick Dynamic Realty
CONY XXXX
789-2883
272-4541
274-1521
Mailing Address:
Legal Description:
Location:
501 West Northern Lights Phone:. 279-7611
Lot 45 Block~Valli Vue Estates #2
10511 Lone TreetDrive
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply:
Wales & Septic
Public Utility
No. Bdrms.
,I ndividual
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal System
Type of System:
Public Utility
Individual (on-site) XXX
If Individual, date of installation
MUNICIPAl. IT( OF ANCHOM.G[~
E~IRONtd~FID~L P;~OTECTION
i 4 19Y7
RECEIVED
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENfAL PROIFCT[ON
I,,iAR i 1977
RECEIVED
72-003(3/76)
THE FIRST NATIONAL BANK
OF ANCHORAGE
March 31, 1977
Mr. John Kennedy
Dep't of Health and Environmental Protection
Pouch 6-650
Anchorage, AK 99502
MUNICIPALITY OF ANCHORAg~
DEPT. OF HEALTH &
I~NVIRONMEN'rAk PROTECTION
APR 8 1977
RECEIVED
Re: Lot 45, Block 3, Valli Vue Estates Subdivision No. 2
Dear Mr. Kennedy:
We are in receipt of your letter, dated March 18, 1977,
informing us of the necessary work to be performed before
you can issue your approval of the sewage disposal system.
We are holding in our escrow account $750.00 until such time
as the necessary work can be performed. Please issue
your temporary approval on this bases.
A copy of our Cashier's Check is attached for your file.
Please let us hear from you soon.
Very truly yours,
Marianne Nolan
Assistant Cashier/Closer
Enclosure
SOUTH CENTER BRANCH · 201 WEST 36th AVENUE · P.O. BOX4-2090 · ANCHORAGE, ALASKA 99509
1977
First National Bank of A~chorage
Post Office Box 4-2090
~%chorage, Alaska 99509
8ubJeot~ Lot 45 Block 2 Valli Vuo g~tate~ Subaivision 92
This d~par~men~'s inspe~tio~ r~port of the existing
sewage disposal system indicates that at the ~ime of
installation, there wer~ t~o (2} Sumps, on~ at ~ach end
of ~e trench and '~wo (~) cleanouts at th~
During an insp~etion e~ January 3, 1977, on~y one of tho
sumps mentioned above wa~ visible. Bufore thi~ department
can grant final a~)proval of you3f request the other s~p
T~mporary approval, however', will b~ granted if funds are
weather permit~.
If ther~ are any f~rther qu~s~ions, piuas~ contact this
office at 279-2511, ext~nslon ~24 or 225.
Sin~er~ly~
John Kennedy
Principal ~vironmen~al Control Officer
JK/ljh
John/F~uriel ~nry
~_~.!05'FI [_one Tre_e_Drfve
Anchorage · - .... Co.n,y s,.,. A~
_Le~lO~escrio,ion 'Lot 45~ Block 3 'Valli
Vue Estates Subdivision
Henry Aopraiser Johnson/Ferrara InstruclronstoApora,sel
L~x~Ji~n [~] U,ba~ L~subu,ban
Built Up .':] ~]Over 75%' [~25% lo 75% L~Under 25%
Growtl~ Rale [] Fully Dev.' []Rapid . [~Steady []Slow
Employment S,abiNl¥ [] [~ []
Conven,ence IO Empio;menl [] [] [] []
~e:reat~o.m Facilitme, .' 0 ~ 0 0
Prot~t;onfromDetrimentaiCondltlons O ~ 0
0~00
Single Family ~e ~ '?~c:J %' 0 y~s tO ' .K. 3 yr$ P~edom;nant A~ 2 ws ~p~)eal to Market 0
v~bw~ ]e~q~oqn cables; co~un~ty water w~th s~te septic. Considered one
nf'~hP finP~_ laP~ lot~uh~divJsions inthe "~dm" ar~ nf An~ ~..' ' ' ~
a~cess,to the area'.is via O'Malley Road which Js ~a~ed~a~9~ac~t~C~eareM~'ng
built'~in this oesirable subdivision ...... ~ .
Oin~e~io~s irreqular<
.... ~- :>:-:;:;~ = 20',4~-8 . Sq. F,. ~,X~Y~ ' , ' E] Co,~Lo, - '
'"t. ........... I' TE PROVEMENTS TOpo typ]~ -.... -.
w~,.c~:'~ "' ' '...s~.. ..... ..... Js.,f~.~:._.:qravel .Js~p. standard . :..~' .....
,;?--?~ . - ., ~ , standard · . .-,.
Ibis,is a t~Tca],.s]ze and quality Va]Il Vue
Ex}sting (app,ox. yr. bH.] 19'75J~o.u.;,, I Tv~ ,J
O.,~.o,.d Ou.d.,co.,',V.:,~o. INo. S.o.o, 1: detachedj '. ,' spl it entry
R~fMaterial ;:]~t.~ Gu,,e,~&Oownspouls ~Non~WinaowiTy~}: 'casement/
built up .J~ adequate 'oh [ -, .
' ~ ~StormSash ~Sc~een~ L-:Combi~ation
~:oun~lion Wall~ '~";" ' ~ ] 00 % Basement ~ Floor Drain F;mished Ceil;rig
,'conc. block '.~:?L-'~o0~,~.~.,,.... gs~...~
~c,.~m sm:~ .. F,~.'i .... ~ ~,~ru aarage m.~,h.d W~., sheetrock
~co ,~,~,. ~oor 1 AR ~ Fi.i,~,d F,.~.... ~oo, car~et/vinyl
~SlabonGrade . '"']]~:~'~;~" ~ ~videnceof: ~Oampnes~ ~Te,mhe, ~Setdemen~ '
c.~. B~ment:has been finsihed off since.o~rers E~ possession.
cedar
F[o~ :. L]Hardwood 4: ~Y~]Carpe! Over
Floor OCeram;c ~t:..:.;~ ~yinyl '",, -'
$~alFealura~ Iincludi~gfireplac~}: fireplace of used 6ric~
'~ en~, c~t~lo~t doors,
:;~iihed (Oe~ri~) , 0 Healed
lo. Ca?.~J~Adequale [~ In.'dequate Condi'i~n ~lleclive Age ~ ~yfj: "· ' -~
Esl. Rema~mng EconomicLife69 y,,.
O~CNES. PaT OS. POOL. FENC~S..,c. (d.,c,iN) ] 5.5~eck; 4 X 40~.covered wa] kway.
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater. Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99507
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 015-322-18
Expiration Date:
GENERAL INFORMATION
Complete legal description Valli Vue Estates Subdivision No. 2, Block 3, Lot 45
Location (site address) 10511 Lone Tree Drive Anchorage, AK 99516
Current Property owner(s) Joseph and Ellyn Julien
Mailing address P.O. Box 113283 Anchorage, AK 99511
Lending agency
Day phone
Mailing address
Day phone
Real;Estate Agent
"Mailing Add'~ess
UnloSs otl~erwise r°~questocl, COSA w#l be held by DSD ~or pickup.
2. NUMBER'OF BEDROOMS: Three(3)
DaY phone
TYPE OF WATER SUPPLY:
,IndividUal WelJ []
Individual Water Storage []
Community Class ~ Well []
Public Water System []
TYPE OF WASTEWATER DISPOSAL:
Individual On-site []
Individual Holding Tank []
Community On-site []
Public Sewer []
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and maY be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
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 Anderson Engineering
Address P.O, Box 240773 Anchorage, AK 99524
Engineer's Pdnted Name Michael E. Anderson, P.E.
DSD SIGNATURE
~ Approved for .~
Disapproved.
Conditional approval for
bedrooms.
Phone 522-7773
Date 8/2/2011
bedrooms, with the following stipulations:
Attachments: COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
(Rev. 11/05)
X
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other'
Original Certificate Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 9951g-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description:
A. WELL DATA
Well type C~ass A
Date completed
Total depth ~
Lot 45, Block 3, Valli Vue Estates No. 2
Parcel ID: 015-322-18
IfA, B, or C provide PWSID #210605
Sanitary seal' (Y/N)
Cased to ft.
FROM WELL LOG
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform colonies/100 mL
Arsenic: mg/I
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Plastic
Tank size 1,000 gal.
Foundation cleanout (Y/N) Y
Date of pumping 9/8/2010
C. ABSORPTION FIELD DATA
Date installed 9/27/02
Length 63 ft.
Total depth 13- 15 ft.
Well Log (Y/N)
Wires properly protected (Y/N)
Casing height (above ground)
AT INSPECTION
in.
g.p.m, g.p.m.
Nitrate ~ mg/L Other bacteda ~
Date of sample: Collected by:
colonies/100 mL
Date installed 9/27/02
Number of Compartments Two Cleanouts (Y/N)
Depression over tank (Y/N) N High water alarm (Y/N)
Pumper 'McDonald's pUmping Service
Y
N
Soil rating (g.p.d./ft2 or ~/bdrm).6 GPD/SF
Width 4 ft.
Eft. absorption area 756 ft2 Monitoring tube
System type Deep Trench
Gravel below pipe 6
Y Depression over field N
Date of adequacy test 7/27/2011 Results (Pass/Fail) Pass For 3 bedrooms
Fluid depth in absorption field before test 36 in. Water added 500 gal. New depth 42
Elapsed Time: 1,440 min. Final fluid depth 36 in. Absorption rate >= 450
Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date
in.
g.p.d.
UFT STATION
Date installed.
"Pump on" level at
Datum
in.
E. SEPARATION DISTANCES
Size in gallons
"Pump off" level at
Cycles tested
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
Animal containment areas
in.
Property line lO'
Water Service line >1~o'
Curtain drain None Noted
F. COMMENTS:
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
in.
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Holding tank
Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5. Property line >5.
Water main N/A water service line >1o'
Walls on adjacent lots >2oo'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation >1o'
Surface water >1oo'
walls on adjacent lots >2oo'
Absorption field. >5'
Surface water >1oo'
Water main >10'
Driveway, parking/vehicle storage. >25'
G ENGINEER'S CERTIFICATION
. _
I certify that I have determined through field inspections ano
review of Municipal records ,that the above systems are in
con rmance, cosA gui ine in on thi date.
COSA Fee $ /'{ ? 0
Date of Payment C_~/~ !
Receipt Number ~) C~ ~.. ~'7 ~
(Rev. 11105)
Waiver Fee $
Date of Payment
Receipt Number