HomeMy WebLinkAboutVALLEY VIEW ESTATES #1 BLK 1 LT 5Valley View Estntes # 1 Lot 5 #050-521-64 Municipality of Anchorage ,'fie Services Department a n, ' Building Safety Division 0*Development On-Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SWO10300 PID Number: 050-521-64 Name:KIRBY SENDEN Wastewater System: ■ New ❑ Upgrade Address: 7300 ALATNA AVENUE * ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 245-3580 3 ❑Deep Trench ■Shallow Trench ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: 0.6 Total Depth from original grad.: 7' MAX. GPD/sq. rt. rt. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe, 1 5 VALLEY VIEW ESTATES01 3' MAX. Ft 4.0 Ft Township: Range: Section: — — — F111 added above original grade: Gravel length: 82 TOTAL ® 41)Ft SEE DWG. Ft. (2 WELL: ❑ New El Upgrade Gravel width: 5 Number of Imes: 2 Distance between lines: 10+ Ft Ft. Classification (Private, A,B,C): Total De Cased To: Total absorption area: Pipe moteriol: D 3034/ F-810 Ft 820 so, Ft Driller. Date Drilled: Static Water Levet: Installer. SOUTHFORK CONST. I Date installed• 9 10-12/2001 Ft. Yield:Pump Set At Casing Height Above Ground., TANK GPM Ft Ft SEPARATION DISTANCES oSeptic ❑Holding ■S.T.E.P. ❑other To Septic Absorption Lift Holding Public/Private Manufacturer. ANCHORAGE TANK Capacity in gallons: 1250 From Tank Field station Tank sewer Lines Well 100'+ 100'+ 100'+ — 25'+ Material: STEEL Number of compartments: 2 Surface Water 100'+ 100'+ 100'+ — — LIFT STATION Lot Line 5'+ 10'+ 5'+ — — Size in gallons: 1250 Manufacturer. ANCHORAGE TANK ORENCO SYSTEMS 'Pump on' level at: Pump o level at High water alorm at: Foundation 5'+ 10'+ 5'+ — — 41" 41 " 46" Pump Make k Model: Inspections performed by, Curtain Drain NONE KNOWN #20 OSI 05 HHF 10actrical M.O.A. BENCH MARK Remarks: Location and Description: 1. TOP OF CMU FOUNDATION NEAR FRONT OF HOUSE 2. TOP OF MANHOLE Assumed Elevation: 1.) 100.00 / 2.) 101.98 Ft. ENGINEER'S SEAL Inspections performed by: AKWWC, INC. Dates: 1st 9/10/2001 QQQ . .:....... ... ....... ........ �O 2nd 9/11/2001 3rd 9/12/2001 `..� QOM r y ,I. S. Q Development S rvices Department Approval O��,sr" E- 7953 A`QQQ Reviewed and approved by: Date: �q ��-- d�p�d rofessio�aa'� O440d��� (Rev. 12/01) U PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: SW010300 050-521-64 �I ST1 71.56 53.63 ST2 77.21 59.60 MH 78.93 61.27 MT1 59.88 66.93 MT2 193.43 91.37 MT3 74.94 84.56 MT4 1103.63 104.84 TEST HOLE \r /\/ BY S&S ENG. GI�77_11:1y1����'I !TH#;l ` `7 ALTERNATE SITE WILL REQUIRE THE USE AN ALTERNATIVE TYPE OFSYSTEM A \NEW S.T.F PO TANK K V / I WELL / DATE: 8/29/2002 r DRAWN BY: ALASKA NVATER & WASTEWATER C.J.G. CONSULTANTS, INC. �, b , �... . w�.�. SCALE: 1" = 40' 6901 DEBARR ROAD, SUITE 28 'ANCHORAGE. AK 99504 •PHONE (907)337-6179 'FAX (907)338-3246 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: KIRBY SENDEN (907) 345-3580 2 OF 3 LEGAL DESCRIPTION: VALLEY VIEW ESTATES SUBDIVISION TYPE OF WORK: AS—BUILT DRAWING OF NEW SEPTIC SYSTEM of alffoll(Lm y A. Ga ess: G �O��pro f essio�noo PERMIT NUMBER: PARCEL ID NUMBER: SW010300 AS -BUILT DRAWING 050-521-64 1 TOP OF TANK AT INLET - 96.47 INVERT OF BUNG AT INLET - 96.07 NOTE: THE DISTRIBUTION LINES ARE 1.25 INCHI SCH. 40 PVC WITH 1/4 INCH HOLES SPACED 2.5 FEET ON CENTER. FILTER FABRIC FINAL GRADE = 100.42 (AVG.) ST2 n NEW 1250 GALLON S.T.E.P. TANK FILTER FABRIC NAL GRADE = 127.31 (AVG.) MT ORIGINAL GRADE Ra F 125.63-127.13 TTOP OF TANK T OUTLET - 96.37 - INVERT OF BUNG AT OUTLET - 95.95 FINAL GRADE II' 131.91-133.36 /-ORIGINAL GRADE 130.17-131.67 8/29/2002 - ffl, Zm� WE DRAWN BY: ALA.SlU WATER & WASTEWNrER SCALE: C.J.G. CONSULTANTS, 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504 * PHONE (907)337-6179 * FAX (907)338-3246 N.T.S. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: KIRBY SENDEN (907) 345-3580 3 OF 3 LEGAL DESCRIPTION: VALLEY VIEW ESTATES SUBDIVISION; LOT 5, BLOCK 1 TYPE OF WORK: PROFILE AS—BUILT DRAWING OF NEW SEPTIC SYSTEM INVERT OF PIPE = 128.64 (AVG.) - BOTTOM OF TRENCH - 124.67 (AVG.) 00 OF (eiief/A'. "6�4ss —7953 �4 k 'tA'i�frof esslvo��G\ ALASKA WATER & WASTEWATER C(DNSULTANTS, INC. December 18, 2002 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Slope Concerns regarding Valley View Estates Subdivision, Lot 1, Block 5. Attention Joe Goodall: Dear Mr. Goodall, This letter is in regards to the "pink" slip you issued regarding the referenced property on 11/1/02. The excavator has since corrected the deficiency and we have confirmed that no slopes greater than 25 percent exist within 35 feet from the downhill side of the lower trench. Attached are photos showing, the final grades. If you have aivy!questions, please contact us at 337-6179. Thank you for your assistance. Si P.E., M.S. 6901 Debarr Road, Suite 2B * Anchorage, AI{ 99504 Ph: (907) 337-6179 * Fax: (907).3338-3246 * Website: akwwc.com 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 Initial Permit Number: SWO10300 Legal Description: VALLEY VIEW ESTATES #1 BLK 1 LT 5 Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: Kirby Senden Owner Address: 7300 Alatna Dr. ANCHORAGE , AK 99516-0000 Date Issued: Aug 03, 2001 Expiration Date: Aug 03, 2002 Parcel ID: 050-521-64 Site Address: Lot Size: 69381 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: Disposal Field ['7/ Septic Tank r Holding Tank F - Privy Ll 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: Issued By: Date: (3 6 Date: tJ Municipality of Anchorage 0 Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. ZTt_7)_1 — &I (---/ Permit Number 2W V 0 Property owner(s) KIRBY SENDEN Day phone 345-3580 Mailing address (1) 7300 ALATNA AVENUE * ANCHORAGE, AK 99516 Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) VALLEY VIEW SUBDIVISION: LOT 5. BLOCK 1. Legal description (Section, Township & Range) N/A i, C .__;, 1�1 Lot Size Acres/Sq.Ft. Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only E Well Only ❑ Sewer and Well ❑ Water Storage El Sewer Upgrade 1-1 THIS PROPERTY CONTAINS: Hot Tub El Jacuzzi F1 Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool n I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTEWATER CONSULTANTS, INC. (Signatum of prepeFty ewneF ef authe4zed-egefA)�- Permit Fees: t�' 1�100 Waiver Fees; Date of Payment: 71 a& b I Date of Payment: I I Receipt Number: 77U Receipt Number:. ALASKA WATER & WASTEWATER CONSULTANTS, INC. - July 26, 2001 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 Ref: Proposed Septic System Design for Lot 5, Block 1, Valley View Subdivision To whom it may concern: The proposed 3 bedroom house is served by a private well and will be served by a private septic system. A test hole was excavated in the area for the proposed septic system. The septic system will be designed around the 30 foot radius of this test hole. We are proposing that a 1250 gallon S.T.E.P. tank and dual five foot wide pressurized drainfields be installed. Comments regarding the proposed design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring and the percolation test results. It is our opinion that an application rate of 0.6 gallons/day/ft should be used. 2. TRENCH DESIGN: a. Percolation Rate: 20 minutes/inch b. Allowable Application Rate: 0.6 gallons/day/ft 2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 750 ft2 f Total Depth: 7 feet (maximum - on uphill side) g. Effective Depth: 4 feet h. Width: 5 feet i. Reduction Factor: 0.50 j. Minimum Length: 2 @ 40 feet lonT each (80 feet total length) k Effective absorption area = 800 ft Note: the distribution line is to be 1-1/4 inch diameter SCH. 40 pvc with 1/4 inch diameter holes spaced every 2.5 feet on center ( 15 holes per lateral - 30 holes total). 6901 Debarr Road, Suite 213 * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: The area for the proposed drainfields is a 15 to 25 percent running approximately northeast to southwest; in short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your E., M.S. NOTE: Attached is a site plan drawing, a design drawing, a detail drawing, two soils log, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com VALLEY VIEW ESTATES S/D #1; TRACT 2, , I CRYSTAL CREEK DRIVE ALTERNATE VALLEY VIEW ESTATES S/D #1; LOT 4, BLOCK 1,'— / / TEST HOLE / PERFORMED / BY S&S ENG.—/ I VALLEY VIEW ESTATES S/D #1; LOT 2, BLOCK 1, TH#1 VALLEY VIEW ESTATES S/D #1; TRACT 3, IOSED SEPTIC SYSTEM DESIGN PAGE 2 OF 3) 3 BEDROOM HOUSE VALLEY VIEW ESTATES S/D #1; LOT 6, BLOCK 1, CSEPTIC AR �\ \ A PROPOSED \ WELLR��US i� goo W I VALLEY VIEW ESTATES S/D #1: LOT 1A, BLOCK 1, \ � VALLEY VIEW ESTATES S/D #1; CSEPTIC \ LOT 15, BLOCK 1, E�D\\\ / SE EAC \\ / ...D CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B • ANCHORAGE, AK 99504 • PHONE (907)337-6179 • FAX (907)338-324, PREPARED FOR PHONE NUMBER: KIRBY SENDEN 345-3580 LEGAL DESCRIPTION: VALLEY VIEW ESTATES SUBDIVISION; LOT 5, BLOCK 1, OF WORK: SITE PLAN FOR PROPOSED SEPTIC SYSTEM DATE: 7/30/2001 DRAWN BY:>�•' C.J.G. : i SCALE: 1" = 100' PAGE NUMBER: 1 OF 3 m •,J frby .A G Ln s: `J,J e;ec,_a pro f s 510 ----- PROPOSED DRAINFIELDS. EXCAVATE TWO TRENCHES THAT NOTE: THE CONTRACTOR SHALL HAVE THE EXISTING ARE 7 FEET DEEP MAXIMUM BY 5 FEET WIDE BY 40 100 FOOT WELL RADIUS FLAGGED BY A REGISTERED FEET LONG EACH (80 FEET TOTAL LENGTH). ADD 4 FEET LAND SURVEYOR PRIOR TO CONTRUCTION. OF CLEAN, WASHED SEWER DRAINROCK. THE DISTRIBUTION LINES ARE TO BE 1-1/4" DIAMETER SCH. 40 PVC WITH 1/4" HOLES SPACED EVERY 2.5 FEET ON CENTER. (15 HOLES PER LATERAL - 30 HOLES TOTAL.) —I ALTERNATE SITE WILL REQUIRE 5 -WIDE TRENCH WITH AN ADVANTEX, REACTEX, OR BIOCYCLE SYSTEM. TEST HOLE PERFORMED BY S&S ENG. EXISTING FOUNDATIPN TO BE REMOVE A- oQo�o� QQ-Q�� J0 PROPpSEO Dp'Vi'W4r --AILASKA NVATER & WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B ' ANCHORAGE, AK 99504 • PHONE (907)557-6179 • FAX (907)558-324 PREPARED FOR: PHONE NUMBER: KIRBY SENDEN 345-3580 LEGAL DESCRIPTION: VALLEY VIEW SUBDIVISION; LOT 5, BLOCK 1, TYPE OF WORK: DESIGN OF PROPOSED SEPTIC SYSTEM DATE: c�SOp 7/30/2001 0 DRAWN BY: v�'`Ci • Sl��o C.J.G. •; i' SCALE: * q PAGE NUMBER: D 2 OF 3Q�.....: f ey ... �...ss., ... • CE 953 o ��4 s�` • .... ' • N 44Q�npro f essio�—' hA° ti h�< A. r� ! r �va�✓ i v ti PROPOSED 1250 GALLON S.T.E.P. TANK (MAY REQUIRE A DEEP BURIAL TANK) PROPpSEO Dp'Vi'W4r --AILASKA NVATER & WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B ' ANCHORAGE, AK 99504 • PHONE (907)557-6179 • FAX (907)558-324 PREPARED FOR: PHONE NUMBER: KIRBY SENDEN 345-3580 LEGAL DESCRIPTION: VALLEY VIEW SUBDIVISION; LOT 5, BLOCK 1, TYPE OF WORK: DESIGN OF PROPOSED SEPTIC SYSTEM DATE: c�SOp 7/30/2001 0 DRAWN BY: v�'`Ci • Sl��o C.J.G. •; i' SCALE: * q PAGE NUMBER: D 2 OF 3Q�.....: f ey ... �...ss., ... • CE 953 o ��4 s�` • .... ' • N 44Q�npro f essio�—' Im f 5'�l 7/30/2001 rf .�1 DRAWN BY: ALASKA WATER & WASTENAWFER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B • ANCHORAGE, AK 99504 • PHONE (907)337-6179 • FAX (907)338-324 REPAIRED FOR: PHONE NUMBER: KIRBY SENDEN 345-3580 'GAL DESCRIPTION: VALLEY VIEW SUBDIVISION; LOT 5, BLOCK 1, 'PE OF WORK: PROFILE DRAWING OF PROPOSED SEPTIC SYSTEM C.J.G. SCALE: N.T.S. ... 3 OF 3 QQ *•Jlff e Gayness: •'•! C� 7953 uG 4©���pro f essi AJLAS��c� ��� WXrER�� �� WASTEWATER CONSULTANTS, INC, ' LEGAL DESCRIPTION: UE8CR|POON: v«LLEY v/uw SUBDIVISION; PERFORMED FOR: «maY sEwDEw DATE: 7/19/01 DE PT | '~~vI0RQAN|CS ITEST HOLE #11 2 3 4 5 G 7 8 8 18 11 12 13 14 15 16 17 18 19 20 SOIL CLASSIFICATIONS G� �G GP ML GM CL 5C 0L 00 S MH sp CH SM OH SC DEPTH To DATE GROUNDWATER NET TIME (MINUTES) DRY 7/19/2001 ~ HOUSE SITE PLAN DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) ---- PERCOLATION RATE 20 TEST RUN BETWEEN 4.0 (MIN./INCH) PERC. HOLE D|4. O^ (INCHES) COMMENTS: PERCOLATION HOLE WAS PRESOAKED FOR 4+ HOURS PERCOLATION TEST WAS PERFORMED BY CALEB GALL PERFORMED BY ALASKA WATER 8x WASTEWATER |. JEFFREY A. GARNESS, CERTIFY THAT THIS FORMED NOV-28-2000 08 :30 AM Lj dr Of S O Munlclpallty of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES ...•• ` _ . � r 825 ''L" Street, Anchorage, Alaska 995V -0A50 1 . �+ '�•q s, `- SOILS LC7Ci PERCOLATION TEST PATE PERFORMED: .1 PFF.RFCIA MLL) ship, Range, Section, LEGAL DFSCRIPT10N:_— I rE PLAty P t�r I .�h A r 6 7 1 C- r-° �/ a 6 ,z SLOPE 5 WAS GROUND WATER 1 f`} ENCOUNTERED? �-y jr- YES, AT WHAT O DEPTH? ----- E Depth 10 Witt Atter Monitoring? � 1 I Groan Reading Dat• ( Tlme Net1)' Time T wo 15 Z /0 A 201 PERCOLAT-ON HATE (mjnuies/MCh) PEAC HOLE tjIAM°'. TETT RUN BETWEEN -- FT A,q0 L5 --_FT f` UC_�YIC7 ComkiEN'I'S _� --.-- &h �R , P Road foto. 204 �� �'�CEFiTIFY THAT THIS TEST WAS ?ERF019i.;QL111a i. DOC Co. f*u~ SULLIV~ WATER WELLS ~ ~MBER ~ND OF C~ING ~ ~ ~ ~ )OND OF FORMATION: Tjmn- FL to. Ft,- From~Ft. to From~Ft. to~.---- Ft · ', u,flJ / G,,/'*tASI<A99!0 ({)0t) 9,", :~ January 4, 1982 Jeff Nelson FPO Box 9 US Naval STN Seattle, WA Permit ~ 811043 Subject: m 5 B 1 Valley View ~_~ ~(~. A permit issued by this department for a well system has expired as of December 31, 1981. and/or sewer Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, Sewer and Water Program Enclosure: Copy of Permit FIF'F:!_ :[ CF!NT L 3F:F~"F ;[ ON LEGFIL DEPFIRTMENT HEFIL. TH FIND ENVZRONF![NT~L ,eCq"~CTZON 825 '"L' ST~:E[T., F!NC:HORFIGE., FIK. ( 8J..ig,d.;~: ) .~EEF'F NELSON BIRCH E. R. L5 B2 VRLLE'¢ VIEt.4 LOT SIZE 4d.L.'lEIEI SQURRE FEET TY'F'E OF :SOIl... RE~SOF.:F'T;r. CIN :.]'¢STEM IRE;: _r:,RFF!F,!FZELD MR,':.:;.IF1UM NUf'tE',E!~: '..'iF EEB, RL-Ir.:d',!f$ .... :1. 'E, EIIL. RFITTt',,!C~ ,::SQ [. F, bE ..... o._ THE B'Er';,_iE'F.:£, ':.~;_TZE OF THE _'SOIL RE:~ORF'TICd'.,I S',/STEH I~: ]"HE L. ENGTH DIHENSION IS THE LENGTH (IN FEET::, OF' "FHE TRENCH (DR DRR:[NFIELD. THE DEPTH OF FI TRENC:H OE: PIT iS THE DILC, TRNCE BET!.4EEN THE SUE:FRCE OF THE GROUIqt') FIN[.', THE 6'OTTOH OF THE E',:..','CRVRTION ,::IN FEET::,. THE GF4'.FIVEL. L'.,EF'TH IS THE HINIHUM DE:PTPI OF GRRVEL BETF!EEN 'THE C)LI'!'FI::I,L.I._ F'IF:'E FIN[;, ]'HE E,'OTTOPI OF THE E',qCFI'¢RTION (IN FEET>. E;~: EiE ~G:.~ L_lt Z [f~: EZ ~Z:, . ......... ]r ,]E: T ~ iP-,~ ~-::' Z ;;~ E:. ....F'F:E'MI'[' hF-FL-"' _T .... ..HNT HH_,':: THE ,-..~..-,='[:'qr':"-~''::;',TP:'r L_.,,_ ..~ ~ .I'T'.? 'FO INFORM THIS E:,EF:'FIF4:-FHENT DURING TIqE.._ I f.llSTFIL. L..FIT ! 01'.,t l f L., f EuT .[ L$-.'_, OF FtBi,~' 14ELL_, FIE:,.TRCENT TO TH l ~ F F. J.- EF.~I T Ri'.,IE:, THE NLIME:E:R OF RES l E:,ENC:ES THFIT 'THE 1.4ELL. I.,.!I LL '.-];ER',,,'L:. E:FICKF ~LL. I NG OF FtN'¢ 'S'¢STEM l.,.!l THOUT F t NFIL t NSF'ECT l ON Rt.,ID FIF'PE'.OVFIL E:'¢ TH I S [)EPFIF.:TPIENT I,,.t ILL BE S .. E ~TEC T TO F'ROS;E:CUT _T OJ'.,f! MIIqlMLIM DISTRt'-,!CE E:E;T~.4EEN R .klEL. L. RND RN"¢ ON-SITE SEk!RGE DISPOSRL S"r'Sl"E:M IS :1.88 FEET FOR FI PRIVRTE 1.4ELL OR J. 5,9 TO 20E~ FEE'T FROM R PUE:L. IC t.,IELI._ DEPENDING UPON THE ]"'¢F'E OF PUBLIC kiEL. L H!NIHLIP1 DISTFINE:E FE:OF~ FI PRIVFITE !.4EL. L. TO FI PRI'v'FI]'E SEI-,.IER I...!NE t:E;, .'-2!5 FEET FIN[.', TO R COMMUNIT"r' SEI4ER LINE IS 75 FEET. OTHER E'.Erc]UIREHENTS PIFI'¢ RPPL'¢. SPECIFICRTIONS RN[::, CONS'T'RUC:TZON DtRGRRHS RF?.E R',,,'FIIL. FIE:LE 'TO INSURE PROF'EF-: :[NSTRLLFITION. i CERTIF'¢ THFIT J.: I Ri','! FRMIL. iFIR Iqtt"H THE REQUIREMENTS FOR ON-SITE SEP.IEE:S RND ktELLS RE; SET FOE:TH BY THE HUNICIPRL.:[T'-/ OF RNCHOE'.RGE. 2: t 14ILL. INSTRLL. THE S%.'STEP! iN FIC:COE:DFINCE P.IITH THE CODES. ]~:; t UNDERSTRND THFIT THE ON-SITE SEF.IER S'~'STEM MR'¢ RE:CCJ!RE ENLRRGEMENT IF THE RESIDENCE I6 REPIO[:,ELE[:, TO !NCLLIDE MORE THEN 4 BEDROOMS. ..... ~ RF'PL71 ~-r ..IEFF' N E!...S C~'~ ]:$St..IE[> E¢'r'_ ........ [:,F!TE ............. ',/,~. ~3 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST [~SOI LS LOG [] PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 13- 14- 15- 16- 17- 18~ 19- 20- SLOPE SITE PLAN ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) 72-008 (6/79) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Parcel I.D. 1. CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAHILY DWELLING 050-521-64 GENERAL INFORMATION Complete legal description VALLEY VIEW ESTATES SUBDIVISION; LOT 5, BLOCK Location (site address or directions) WlLDFLOWER CIRCLE * EAGLE RIVER, AK 99577 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address KIRBY &: CHRIS'P( SENDEN Day phone.622-5647 WILDFLOWER CIRCLE * EAGLE RIVER, AK 99577 Day phone Day phone Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER~F BEDROOMS: 3. 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 The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 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) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Cedificates 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 samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for propeflies 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. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, or pdor to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER o 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 Authodty 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 ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Phone Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS. P.E. Date ,537-6179 Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations, The reported results described 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 ali wells and septic systems depend on the local soils condition, 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 eva/uator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide any warranty or future 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 wi//it confer any legal fight whatsoever, DSD SIGNATURE Approved for '.~ bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulatio. .. .. . , ~ '~ '. ~' ~IW .' :' '. . . .,.'. Attachments: HAA Checklist Septic System Advisory Well Flow Advisory (Rev. 12/01) Manitenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: Z~./~'/~),~ Municipality of Anchorage Development Services Department Building Safety Oivlslon On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cLanchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Oescrlption: A. WELL DATA Well type , PRIVATE, Date completed 5/1984. Totaldepth 120 fL Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Arsenic: N/A mg./L. SEPTIC/HOLDING TANK DATA V~ VIEW ESTATES S/D; LOT 5r BLOCK 1, Parcel ID: 050-521-64 If A, B, or C provide PWSID# Sanitary seal (Y/N) YES (TO eEDR0Cl0 Cased to 58.5.. fL FROM WELL LOG 50 10 ~ g.p.m. Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 1/22/2oo5 Nitrate 0.2 mgJL. Date of sample: 1/22/2005. Collected by: 69, ff. *0.16 g.p.m. ,SOo C, AU.ONS 'OF SrORAG£ LOCATED IN THE BASEMENT. TANK ARE NSF APPROVED Other bacteda .3 colonies/100 mi. AKWWCf INC. *HOUSE OCCUPPIED LESS THAN 6 MONTHS AGO Tank Type/Material , , STEEL. Tank size 1250, gal. Number of Compartments 2 Depression over tank (Y/N) NO Pumper PBELO~ hNAL O~DEI Foundation cleanout (Y/N) YES ~ Date of pumping ~ *NEW C. ABSORPTION FIELD DATA Date installed . 9/10-12/2001 Cleanouts (Y/N) YES High water alarm (Y/N). YES Date installed 9/lo-12/2001 Soil rating (~r fl~/bdrm) 0.6 Length 82 (2 O41)fL Width ..5 Total depth *7.24-8.71fL Eft. absorption area 820 It~ Monitoring tube YES Date of adequacy test . NEW Results (Pass/Fail) - Fluid depth in absorption field before test - in. Water added - gal. Elapsed Time: T, min. Final fluid depth - in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (YIN & type) - System type TRENCH Gravel below pipe 4. ft. Depression over field NO For - bedrooms New depth - in. - g.p.d. If yes, give date - O. LIFT STATION Date installed 9/t0-12/01 "Pump on" level at 41 in. Datum BOTTOM OF TANK E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallons 1250 "Pump off" level at 41 in. Cycles tested. NEW Septic tank/lift station on lot100'+ Absorption field on lot, 100°+ Public sewer main N/A Sewer/septic service line 25'+ ManholelAccess (y/N) YES High water alarm level at 45 in. Meets alarm & circuit requirements? YES On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation. 5'+ Property line 5'+ Water main N/A Water service line 10'+ Wells on adjacent lots 100°+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10°+ Water service line 10°+ Curtain drain NONE KNOWN F. COMMENTS G. ENGINEER'S CERTIFICATION Building foundation, 10'+ Surface water 100'+ Wells on adjacent lots, 100'+ Absorption field Surface water 5°+ I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. 100'+ Water main Driveway, parking/vehicle storage 10'+ Engineer's Pri. nteFI Name Date JEFFREY A, GARNESS HAA Fee $ Date of Payment Receipt Number (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number 2 i r- N N S 'may, CO � 0 O O 0 O 0 O� og Z Z GI 49.30, 6? RR -5 PREUSS AVENUE (PLATTED BUT NOT CONSTRUCTED) N 89057'17"E 269.56' (M) N 89057'14"E 270.00' (R) 0 4' PVC SEPTIC STD—PIPES (TYP) M.H. Q O 13'13.5' 8221 DEL STREET ANCHORAGE, ALASKA 99502 PHONE 243-4890 1 /9/03 AS BUILT 57-63 7/10/01 PLOT PLAN 51-76 0 O DATE +��ti�t FLD. BK. .•ti of Ate,, O .•1 h••.•.�?4....i*i;�� EXISTING s.00' t S 79°S0'45 Existing j Well 0 p :n Guy It2.52'(Aq) _ — Url (' f rY FA W' O CHD = 8 78' 1 L' 88.93' LDFL04y�`'� 0' CIR--,••.,,,,,r n7 22°E es.45`�(jl) 78.1' �♦ Willa D. Fleming •. s • . B ue'.•• LS -5773 •, ,�a • �,>M Ar�1essiona� �«i1' NOTES: Ecsements not appearing on record subdivision plat are not shown unless description of easement is provided by client. It is the responsibility of the owner or builder, prior to construction, to verify proposed building grade relative to finish grade and utilities connections, and to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. Elevations based on assumed datum unless otherwise indicated, and bearings and distances are record dato. CLIENT: KRISTY 8 KIRBY SENDER LEGAL DESCRIPTION LOT 5, BLOCK 1, VALLEY VIEW ESTATES ADDITION NO. I PLAT N0. I SCALE I GRID 74-191 1 1 "=40 SW 263