HomeMy WebLinkAboutVUE TOR LT 7Vue Tor
Lot 7
#006-271-08
Municipality of Anchorage Page 1 of 2
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SWO10081 PID Number: 006-271-08
Name
Wastewater System: O New IY Upgrade
Mark b Jeannette Allen
Addre:$'. 2101 Otter St Anchorage, 9�5°
ABSORPTION FIELD
Phone
( 907) 338-2375
No. of Bedroom$:
4
O Deep Trench O Shallow Trench O Bed O Mound IAOther*
LEGAL DESCRIPTION
Soil Rating:
Total Depth from original grade .
0.8 GpDrs Ft
8.4'
Lot Block: Subdivision:
Depth to pipe Whom from original grade.
Gravel depth beneath pipe
7 None Vuetor
4.4' Ft
4.0' c,
Township:
Range:
Section:
Fill added above original grade:
Gravel length:
13N
3W
23
0.0' Ft
95' F,
WELL: ❑New ❑Upgrade
Gravel width: 5'
Num 1of hoes
onoN pe Teen un
Ft
F,
cla$attreabon (Private. A.B.C):
Total Depth:
Cased To:
Total absorption area'.
Pipe material:
Ft.
I Ft.
950 ** so At
D3034
Dnuer:
Date Drilled:
Stabs water Le"t
Installer: Garyv Skagqgqss
Date instaued.
Ft.
Denali ExcavStion
5/9-11/01
Yreld:
Pump Set at:
Ca ng Haight AD W Ground:
TAN
K
GPM
Ft.
Ft.
SEPARATION
DISTANCES
IS Septic E3 Holding 0S.T.E.P.
To
Stoic
Aewrptwn
Lift
Wpldm9
ublirn nvala
Manufacturer.
Capacity in gallons.
From
Tank
Fula
Station
Tan$
I SnverLinM
Greer
1500
Weir
Material:
Number of Compartments:
115'
101'
NA
NA
'+
Steel
2
Surface
Water
200'
200'
NA
NA
00'+
LIFT STATION
Lot
Size In gallons:
Manufacturer.
Line
35'
20'
NA
NA
35'+
Foundation"Pump
on- level at:
•pump oft" level at:
High water alarm at:
15'
27'
NA
NA
Curtain
Pump Make d Model
Electrical Inspections perfom+ed by:
Drain
50'
**.*
NA
I NA
tInknoi,
Remarks:*SAS was. a "5' -wide Drainfield
BENCH MARK
Location and Description:
modified w/4' SR under the pipe.
Ton of O/S electrical outlet box at
** SAS length reduced b increasin
NE corner of house.
depth.
Assumed Elevation'.
1 100.00'
SR
F.
4
***An exist. Curtain Drain was found adjacent to exist.�
ST 3 SAS. Piping used to convey as far away as possit••'••'f9i,
*: 9TM ;
Inspections performed by: Pinard Engineering Dates: 1St 5/9/01 /
�• •• •�
2nd 5/10/01 %
'• a ..... . .........
aul E. Pinard
'•AwReviewed
Department of Health and Human Services approval
&0--"-4'CE-4793 ;
- -a
`i<<x
and approved by: Date:
ESSI
72-017 (Ae . 9191) MOA 25
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Permlt No. SW010081 Page 2 a1 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 + Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Legal Description:- Lot 7, Vuetor Subdivision PIDNo.: 006-271-08
—
T7<t7 A (A". M1j Y0A ii
Veq
Foundati
n CO b se
er line to
ST
New 1.00
gallon
Septic Tnk
(exist.
cont
to ST pu
ped b
•-
bandonedin
place)
dpi
CO
opposi
g
CO (e
ch end)
0
Co
/ trl/a
�
b
Existing
4
7ew Fo
ndation
/
/
Bdrm SFR
b s.wer
line
/
to ST
/
4" Perl
Pipe
•r
/
(installed
level
Gro
"5' Wide
Drainf eld",
01' t We
1
4' SF
under pe:f pipe.
PLA
VIEW
*�497�i �*
0
.. ....••....•........
0. Pau( E, Pinard
Scale•
Elevat
on Data:
ottom of SAS
Trench
85. B',
nvert Per
• Pipe
89.8
•. CE -4793
S @ Middleof
ttom of
SAS
esthole
94.6
79.8'
'i
�1\�•FESSIOK'�
T7<t7 A (A". M1j Y0A ii
Permit No. SWO10081
Page 2 of 2
Municipality of Anchorage
DEPARTMENT OPHEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: Lot 7, Vuetor Subdivision PID No.: 006-271-08
mm A JA". "I) 40A 25
NeAr
Foundati
n CO & sewer
line to
ST
A
New 1
00 ga on
Septic Tank
(e
st. concrete
ST pu
ped 8
bandoned
in place)
- opposi
g
FC01
TCO2CO
CO (each
end)
0
o
MT1 /o'
CO2
STC01
/
ing
4
ew Fo
ndation/Exis
/
BdrmtSFR
CO d sewer
line
/
to ST
/
B
4" Perf
Pipe
c
/
(installed
level
C01112.5
6 0
I
5.5
8
IC0022.0
88.0
"5' Wide
Drainf
eld
01' t We
1
9' S
under pe
f pipe.
TT2
K /
•.� o�r,....:�t sett
PLAN
VIEW
gzm
• ••• •u• ••
Scale -"l'
20
• �•• ��•• �_�. %
Paul L Pinard
Elevation
Data: Bottom
of
AS Trench
85.8'
Invert
Perf.
S @ Middl
Pipe
of SAS
89.8'
99.6'
' •. CE -479 •' eZY
�'•,;�
Bottom
of
esthole
79.8'
�.•'�,!
mm A JA". "I) 40A 25
MUNICIPALITY OFANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Permit Number: SWO10081
Legal Description: VUE TOR LT 7
Date Issued: Apr 25, 2001
Expiration Date: Apr 25, 2002
Parcel ID: 006-271-08
Design Engineer: 0811 Pinard Engineering Site Address: 002101 OTTER ST
Owner Name: MARK & JEANNETTE ALLEN Lot Size: 79900 SO. FT.
Owner Address: 2101 OTTER STREET Total Bedrooms: 4 Permit Bedrooms: 4
ANCHORAGE. AK 99504 -
This permit is for the construction of:
G Disposal Field Q✓ 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, seated, and heated to prevent freezing.
Received By:
Issued By:
Date: z$ D
Date: ? – 2J — al
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.enchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 006-271-08 Permit Number SWO/008/
Property owners) Mark d Jeannette Allen Day phone
338-2375
Mailing address (1) 2101 otter Street
Mailing address. (2) Anchorage, Alaska
Zip Code
99504
Legal description (Lot, Block & Sub'd.) Lot
7, Vuetor Subdivision
Legal description (Section, Township & Range)
Lot Size 1.8i Acres/SOX
Number of Bedrooms 4
79, 900 fq,•Fr
THIS APPLICATION IS FOR:
Sewer Only ❑
Well Only
❑
Sewer and Well ❑
Water Storage
❑
Sewer Upgrade x❑
THIS PROPERTY CONTAINS:
Hot Tub ❑
Jacuzzi
❑
Swimming Pool ❑
Water Softening Unit
Therapy Pool ❑
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.
(Signature of property owner or authorized agent)
Permit Fees: t)Unn Waiver Fees:
Date of Payment: o' 3 Date of Payment:
Receipt Number: a 367 A Receipt Number:
(Rev. 12/00)
PINARD ENGINEERING
Paul E. Pinard
Registered Engineer/AK & ID
P.O. Box 871347, Wasilla, Ak 99687
(907) 357-ENGR(3647)
Jim Cross, P.E.
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw Street
Anchorage, Alaska 99519-6650
April 23, 2001
RE: Lot 7, Vuetor Subdivision; Wastewater Disposal System Upgrade, Plan Submittal
Dear Mr. Cross:
The owners of the referenced property, Mark & Jeannette Allen, have experienced a
failure of their Wastewater Disposal System (WWDS) and are finding it necessary to pump
the septic tank on a regular basis to keep sewage from surfacing on the ground. Based on
my record research at your office, it appears that the original system is quite old, since it
was "upgraded" in 1973 with the addition of a second seepage pit. Mr. & Mrs. Allen wish
to immediately install a new WWDS to resolve the problem with the failed system.
A testhole was dug on the property in the area between the two (2) seepage pits, where
the new soil absorption field is proposed to be sited. To help determine the soil
characteristics, a percolation test was conducted in this testhole. The testhole log and
percolation test data are enclosed (Encl 1).
. The testhole revealed satisfactory soil conditions that were subsequently confirmed by
the results of the percolation test. A watertable was not encountered in the testhole at the
time of excavation, and soils were noted to be dry throughout the entire depth. Before the
testhole was backfilled, a perforated pipe was installed as a monitor tube (MT) for
measurement of any possible watertable at a later date. Examination of the MT this
morning, revealed that there was no water in it.
A design for the WWDS is enclosed (Encl 2). The design specifies a "5' Wide" type
soil absorption system, with four (4) feet of sewer rock under the perforated pipe and a
length of 95 feet, providing 950 sf of absorption area. This is significantly larger than that
required for this four (4) bedroom residence and the soil rating (0.8 gpd/sf), however, the
owners wish to provide an additional safety factor in sizing the upgraded system. Likewise,
the existing septic tank will be excavated and replaced with a new, 1500 gallon tank. Flow
from the tank will be directed at a one percent or greater slope to the distribution pipe
(leach line) in the deep trench, where the piping is to be installed level, for equal
distribution of the effluent throughout the length of the drainfield.
The ground slopes in the immediate area of the WWDS are fairly flat to slight,
presenting no problems to the installation of the system. The adjacent properties were
inspected for possible impacts or conflicts with the proposed system. None were found.
The proposed, upgraded system is located outside the minimum protective radius of any
existing drinking water well. Also, as proposed, its location will not prevent installation of
private wells on adjacent properties.
Because of the nature of the problem, i.e. a failed system that needs to be immediately
replaced, your prompt review of these plans would be appreciated. The owners are
prepared to immediately commence with the upgrade of this system once a permit is issued.
A permit application has been completed and is enclosed, along with a check for the sewer
permit fee. Please contact me as soon as a permit is issued so that I can coordinate with the
owners on this upgrade. If you have any questions, please give me a call at the telephone
number above or on my cell phone (232-1347). Thank you 1
4 Encl. (as)
cc Mark R Jeannette Allen, w/encl.
Sincerely,
Paul E. Pinard, P.E.
Paul E. Plnard
CE -4763 ,
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PINARD ENGINEERING
° P.O. Box 871347 Wasilia, AK 99687
(907) 357• ENGR (3647)
d TEST HOLE LOG / PERCOLATION TEST
TEST HOLE # 1 DATE__4 / 17 / 01
JOB NUMBER -01-041
LOCATION: Lot 7, Vuetor Subd.
FIELD STAFF: P. Pinard
DEPTH. FEET SOIL TYPE
1
2
3
4
5
PT
GM
6-1 SM - slightly silty
I sand
7
H
SLOPE - SB 5=h1�`
SITE PLAN
Lot 8
O Testhde
7d
L �
I
O 78� /
D/W I 1°
4
0
Existing Well
Existing 4 Bdim, SFR
Lot 6
Was Ground Water Encountered? Yes , to on 4 /17
If YES, Depth to Ground Water. & 4/23
PERCOLATION TEST DATA
g pM A Time Measurement Drop in Leel Pero Rate
I Time I (minute) I (Incites) I (inched I min./ Inch I Comments
10
11
12
13
14 PERCOLATION RATE 9.6 min/inch rir•-•STM
PERC HOLE DIAMETER 61' VVP�AUL
15 BOH - 14.8' TEST RUN BETWEEN 5.5 FT —
and 6.5 FT In DEPTHePnnrtnCOMMENTS: Perc Hole was presoaked for%*,:•..Ea793
Fo•... ...•'
16 4 hrs. Size SAS @ 188 sf/bdrmm ,?'++,ai/�I
based on results of perc test.
IIIIIIIIIII,----
IIIIIIIIIIII1--�-
14 PERCOLATION RATE 9.6 min/inch rir•-•STM
PERC HOLE DIAMETER 61' VVP�AUL
15 BOH - 14.8' TEST RUN BETWEEN 5.5 FT —
and 6.5 FT In DEPTHePnnrtnCOMMENTS: Perc Hole was presoaked for%*,:•..Ea793
Fo•... ...•'
16 4 hrs. Size SAS @ 188 sf/bdrmm ,?'++,ai/�I
based on results of perc test.
PINARD ENGINEERING
Paul E. Pinard
Registered Engineer/AK 8 ID
P.O. Box 871347, Wasilla, Ak 99687
(907) 357-ENGR(3647)
Dan Roth
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Sewer Program
4700 South Bragaw Street
Anchorage, Alaska 99519-6650
RE: Lot 7, Vuetor Subdivision; Wastewater Disposal System Upgrade
Dear Mr Roth:
May 24, 2000
Attached is the Inspection Report and Record Drawing for the recently installed
Wastewater Disposal System (WWDS) on the referenced property. You had previously
approved the plans and issued the pennit on April 25, 2001, for this upgrade of an existing
system.
Installation of the new system began on May 9ih and it was completed on May 11,
2001. As specified in the permit, your office was notified at least two (2) hours prior to the
two (2) required inspections.
If you have any questions on this project, please do not hesitate to call me.
incerely�
Paul E. Pinard, P.E.
2 Attach (as)
cc Mark &.Jeannette Allen, w/attach
GRE'"ER ANCHORAGE AREA BOf""UGH
Gfl�� Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAMES Ras MUfz011 MAILING ADDRESS 13"2-(0 r, 7a�td PHONE.3✓I*12q��
LOCATION O#er St✓eef LEGAL DESCRIPTION mot 7 I/ife - Vo w- Std
SEPTIC TANK:
DISTANCEi 1>t 57'9�1e✓ /} O Sr;�UM Pre✓Woks Ol✓n e, -)NUMBER OF
FROM WELL /00 MANUFACTURER J MATERIAL COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH i IQUID CAPACITY EO -4 GALLONS.
I EX/S ih']
SEEPAGE PIT: j ,,t1,e41 �/ /�
NUMBER OF PITS DIAMETER OR WIDTH_, LENGTH_, DEPTH 72 TO �ilom pJ` /7f t
LINING MATERIAL/A CRIB SIZE: DIAMETER ,KDEPTH� DISTANCE FROM: WELL
-7�0�,, � TOTAL EFFECTIVE
BUILDING FOUNDATION_, NEAREST LOT LINE^ -r' . ABSORPTION AREA (WALL AREA) 7�� SQ. FT.
ADDITIONAL ABSORPTION
WELL::
TYPE d r i ll/
e(1 � "CQy CONSTRUCTION
DEPTH
DISTANCE FROM:
BUILDING q11 NEARST NEAREST
FOUNDATION /91. LOT LINE—. SEWER LINE , TANKC�"" SYSTEMS
CESSPOOL , OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES:
INSTALLED BY: Ake 5CAQC/1�
PIPE MATE R IAL:1rR 11J i fe RAW
C4S_ I ;YOB ple
LOT SLOPE:
REMARKS:
Foam No. E"31
DIAGRAM OF SYSTEM
APK. / w
Ex%s1in9 . 440' 30'
%t / Trq„
V P•Pe �>
-
1---�
5;'
io•
-• O
Ex17-4nk
TAo k
10
NAME OF APPLICANT
INSTALLATION LOCATION
LEGAL DESCRIPTION
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO.
3330"C"STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK
S MAILING ADDRESS
3/2G C i
y[tP-(10e S*Ic1
F , v
SEEPAGE PIT DRAIN FIELD
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH
SOIL TEST RESULTS -125- �LJ �/M zr0.[R NOTE. THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
7+c 04 jer 70 /H'
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.
TYPE
MINIMUM DISTANCES, REQUIREMENTS
- ,
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT 20 DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
l5-/
SEPTIC TANK SEEPAGE PIT . DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK `J D SEEPAGE PIT /OD,
DRAIN FIELD ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK . SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK, lop SEEPAGE PIT OO DRAIN FIELD /OO
TO RIVER. LAKE, STREAM.
AREA SIZE U/ ug—, VIA / �,(ik
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION S FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. i
G.A.A.B.
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
1 CERTIFY THAT 1 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.
DATE APPLICANT'S SIGNATURE -- •'� "//'/ -� �(�.��
FORM Nc&&Q-O i
T'n eoniftuctlon Beit -fat
^ "One tat is worth a sh"wnd npinioes"
G+t t' IL'1t" "I +1,30311,t UOOR ROAD. ANCHORAGE, ALASKA 00507 0 TSLrPmoks 337.6470
t Performed For i ussen Date Performed 8-7-73
t' Leaal Oescrintion: Lot— 7Ploct. Subdivision Vue-'Por
This Form Renorts Soils Lon yes Percolation Test
nenth
Feet Soil Characteristics
1 —
2 — Slit,ialy Silt• Gra•: t; L} ru
3 — some cobt.I 's and Liu i 'i^r:
n — thruou r, d -;p:_,
5 —
Was Ground Water En(-.,:,,tr.—T .-1- �—,
If Yes, At ghat
Road inQ --Da to - Trrss 1 ir;c I ;rt 7iT%r. -i-!)nnth -to 11,0 i Not -Egon
L
Percolation Rate Minute
Prorosed Insta ation: Seeraoe Pit yes Drain Field
Deeth of Inlet Denth To Qottom Of Pit Or Trench
CnMNENTS: 125 sq• It. drainage area required per bedroom F
_ - No bedrock or water tabip. f'c,,,r r•epfseapaga—pig
Test Pbrformed By Jim Mack Data Certified By: Construction 1
—�'
Lab Manager Date7-73: '
89
• Municipality of Anchorage JUN u b
On -Site Water and Wastewater Program �6
(907) 343-7904
01 68
Certificate of On -Site Systems Approval
Parcel I.D. 006-271-08
Expiration Date: ` — ) 0 ^1'(0
1. GENERAL INFORMATION
Complete legal description Vue Tor, Lot 7
Location (site address) 2101 Otter St.
Current Property owner(s) Michael & Liana Keller Day phone
Mailing address 2101 Otter St. Anchroage, AK 99504
Real Estate Agent Day phone
2. TYPE OF DWELLING:
Fx1 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
El
Individual
[f
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver/Variance request
Received by: F /� Date: 1 -3 (S-0 v -P
COSA to be released to the engineer, unless otherwise reque y the engineer.
COSA Fee $ ���'�� Waiver Fee $
Date of Payment &Z &% Date of Payment
Receipt Number 0,5-12 a Receipt Number,
COSA# 65( l&tZ9 Waiver#
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 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.
In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA
guidelines and 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. These conditions
are 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 are no hidden defects or encroachments. Therefore we cannot provide any warranty
for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone
6. DSD SIGNATURE
System #1 Approved for _�_ bedrooms
System #2 Approved for bedrooms
Disapproved
Phone (907) 272-8218
Date 6/6/2016
Conditional approval for bedrooms, with the following stipulations:
By:�- I Original Certificate Date:
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSAbluesheef S
If more than 1 septic system is on the lot:
COSA Checklist # 1 of 1
Structure served by this system 1
Certificat"f On -Site Systems Approval Checklist
Legal Description: Vue Tor, Lot 7
A. WELL DATA
Well type Private If A, B, or C provide PWSID #
Date completed Unknown Sanitary seal (YIN) Y
Total depth 68+ ft. Cased to Unkown ft
FROM WELL LOG
Date of test Unknown
Static water level Unknown ft
Well production Unknown 9-P.M.
WATER SAMPLE RESULTS:
CoGrorm Neg colonies/100 mL Nitrate ND mg/L
Arsenic 8.94 ug/L Date of sample: 5/16/2016
S. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel
Parcel ID: 006-271-08
Well Log (Y/N) N
Wires properly protected (Y/N) Y
Casing height (above ground) 18+ in.
AT INSPECTION
5/16/2016
65 ft.
6.3+
9•R•1h-
Collected by: PES
Date installed 5/9/2001
Tank size 1,500 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (Y/N) N
Date of pumping 6/7/2016 Pamper A+ Home Services
C. ABSOJIPTION FIELD DATA
5/11/2001 z 0.8 GPD/SF Shallow Trench
Date installed Soil rating (g.p.d./ft or felbdrm) System type
Length 95 ft. Width 5 ft. Gravel below pipe 4 ft.
Total dgpth 9 3=: ft, Eff. absorption area 950 if Monitoring tube Y Depression over field N
Date of adequacy test 5/16/206 Results (Pass/Fail) PASS For bedrooms
Fluid depth in absorption field before test 10 in. Water added 607 gal. New depth 14 in.
Elapsed Time: 150 min. Final fluid depth 10 in. Absorption rate >= fi06+ g.p.d.
No
Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date
D. LIFT STATION
Date installed Size in gallons
"Pump on" level at in. 'Pump off' level at
Datum Cycles tested
Manhole/Access (Y/N)
_ in: High water alarm level at in.
Meets alarm S circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100+ On adjacent lots 100+
Absorption field on lot 100+ On adjacent lots 100+
Public sewer main 75+ Public sewer manhole/cleanout 100+
Sewer/septic service line 25+ Holding tank 100+
Animal containment areas 50+Manure/animal excrete storage areas 100+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Property line 5+ Absorption field 5+
Water main 10+ Water service line 101+ Surface water 100+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+ Water main 10+
Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
Survey on File /
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems ere in
conformance with MOA COSA guidelinea4n effect on this date.
Engineer's Printed -Name Stevon Pannone
Date 6/6/2016
COSA canary sheet_2-(i %doc
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MUNICIPALITY OF ANCHORAGE
• DEPARTMENT OF HEALTH & HUMAN SERVICES'
O Division of Environmental Services low
On -Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # 0,01a —27/ — 4)A _ _ . HAA #
1.. GENERAL INFORMATION / 1/
Complete legal description �oT V Ue — y/
Location (site address or directions) IleI .S11g, f
Property ownerZ • /&ate u•59x Day phone
Mailing address P O, RoX I FC12 7 19,VrHor96,E 'ok 99-19
Lending agencyDay phone
Mailing address
Agent e4 % X Day phone Z5 7- 0116
Address �'r/S- X01%/•vG N/iL OR. 19A1e- ep)roSGE 4k 995e¢
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY: y
Individual well
Community well
Public water
NOTE:. If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. •TYPE OF WASTEWATER DISPOSAL: ,
Individual on-site -
x -1,
w
Holding tank 14
Community on-site
Public sewer ,
NOTE:.. If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system
72-023(Mv.1N1)-hoot MOAF21' .
5. STATEMENT.OF. INSPECTION BY ENGINEER.
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system Is safe, functional and adequate forthe number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my Investigation and inspection, the on-site water
supply and/or wastewater disposal system is In compliance with all Municipal and State codes,
ordinances, and regulations In effect on the date of this Inspection.
Name of Firm IWC Engineering
10444 ;3im, Phone - /Z
l 3feRerer, AK 99577$138
Address '
Engineer's signature
Date
6. .DHHS SIGNATURE
Approved for 4 bedrooms.
Disapproved.
Conditional approval for
Additional Comments
By``
bedrooms, with the following stipulations:
Date 3. - 3
CAUTION
The Mu icipality of Anchorage Department of Health and Human Services (DHHS) Issues Health Authority
Approval Oertificates based only,upon the representations given in paragraph 5 above by an Independent
prof s"s,onalengineerregistered Inthe State ofAlaska. The DHHS does thisasacourtesytopurchasersofhomes.
and their lending iri'stitu' Vons 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.
MIJN*UrALHY Or Ato_WKAGt
ENVIROHMIEWAL SERVICES DIVISIO
Municipality of Anchorage
!� DEPARTMENT OF HEALTH & HUMAN SERVICLY&B 2 12 7
Environmental Services Division rr`
825 L Street, Room 502 • Anchorage, Alaska 99501 • (90�6614}AE p
Health Authority Approval Checklist
Legal Description: A17 VuG ILK Parcel I.D.: tJip& —27/-48
A. WELL DATA
Well type LA^j If A. B, or C, attach ADEC letter. ADEC water system number
Log present (Y/N) /1 Date completed 1W73
Total depth c4enj&. Cased to 70 ( c Casing height (above ground) 3z
Sanitary seal (YM) / .Wires property protected (Y/N)
FROM WELL LOG
Date of test A0 /6'0L. n Uj e �� k a
Static water level 61
Well production g.p.m.
WATER SAMPLE RESULTS:
Coliform T Nitrate
Date of sample: Collected by:
AT INSPECTION
2,2/,9 %
Z-5-.7 g.p.m.
Other bacteria
KN E Ge.✓u
B. SEPTIC/HOLDING TANK DATA
17sz_� t-bf. Number
of P�
Data installed _Tank size u -...k. Number of ants ILK)L.. Cleanouts (YM)4—
Foundation cleanout (Y/N) _�L_ Depression (Y/N) 4 High water alarm (YM) _a
Date of Pumping �- Pumper kw Gc s
C. ABSORPTION FIELD DATA
Date installed Soil rating (g.p.d./ft' or ft°/bdrm) 1.7-5 System type
Length Width _ Gravel thickness below pipe 7 Total depth /400
Effective absorption area 7Z0 Monitoring Tube present (Y/N)—Y— Depression over field (YM) Al
Date of adequacy test Results (PasalFail) n For bedrooms
Fluid depth in absorption field before test (in.); 67 Immediately atter gal. water added (in.): �_
Fluid depth Z— (ins) Minutes later: Absorption rate = 100 a.p.d.
Peroxide treatment (past 12 months) (YM) 4 If yes, give date
72-026 (Rev. 3MG)'
D. LIFT STATION
Date Installed
Manhole/Access (YM)
High water alarm level at* _
Cycles tested
E. SEPARATION DISTANCES
`Pump on" level
'Datum
In gallons
SEPARATION DISTANCES FROM WELL ON LOTTO:
r
Septic/holding tank on lot /DO "t On adjacent lots /DU +
Absorption field on lot IDD m + On adjacent lots /Do -+�
Public sewer main n/.4A Public sewer manhole/cleanout All A
m
Sewer /septic service line 2:5 + Lift station AILA
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation 27 Property line / O Absorption field 10'4-
Water
D4-
Water main/service line 25 + Surface wateddrainage /DD Wells on adjacent lots /00 i
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line /0 /+ Building foundation /0 1 -11 Water main/service line 25 I }
Surface water 160 1 f Driveway, parking/vehicle storage area (D 4'
Curtain drain A/A Wells on adjacent lots
F. ENGINEER'S CERTIFICATION
I certify that I have determined ihru field inspections and review of Municipal
in conformance
/with�MCWAHAA guidelines in effect on this date.
Signature �¢s� ��/'gym c
ffzj
Engineer's Nameojyh2e!/11ji•V&70cs
Date T1% %
HAA Fee $ 7
Date of Payment c; /
Receipt Number `%4 7 S: .5
72-028 (Rev. 3/98)'
Waiver Fee $
Date of Payment
Receipt Number
p m+
Ke nc:h M.
CE 711
$tk
E,�_,L
NORTHERN TESTING LABORATORIES, INC.
.0.1111NHI61111AI A\I N111 1 Ali WANK!; AI ASKA 99.0! . I A\ T,6 3176
1+14:6 f41100ri till ill I •}I A`[hA !T I!, h+ C)4103:9 tlNN1 • IA\3d910I6
KND Engineering
20441 Ptarmigan Blvd.
Eagle River, AK 99577-3736
Attn: Dea
Our Lab f:
Location/Project:
Your Sample ID:
Sample Matrix:
Comments:
Lab
Number Method
A148978 SM 4500E
A148978
Lot 7 VueTor
Water
Parameter
Nitrate -N
��
Reported By: Anthony J. Lange
Chemistry Supervisor
Report Date: 02/27/97
Date Arrived: 02/21/97
Date Sampled: 02/21/97
Time Sampled: 0918
Collected By:
�• Definitions ►•
B Present in Blank
H = Above Regulatory Max
E Estimated Value
M = Matrix Interference
D Lost to Dilution
MDL = Method Detection Limit
Unite Result * MDL
mg/L <MDL 0.10
Date Date
Prepared Analyzed
02/26/97
Municipality of Anchorage
• Development Services Department °
Building Safety Division
On -Site Water and Wastewater Program '
4700 South Bragaw St. '" `•'
P.O. Box 196650 Anchorage, AK 99519-6650
a® S w (907) 3 i 3-79 nsile
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcell.D. 006.271-08 HAA#
Expiration Date: j — / — 0
1. GENERAL INFORMATION
Complete legal description Vue Tor S/D, Lot 7
Location (site address or directions) 2101 Otter street, Anchorage
Current Property owner(s)
Mark & Jeannette Allen Day phone Go 2648179
Mailing address
do Bill Allen: VECO; 3601 C SL, Ste. 1000, Anchorage, AK 99503
Lending agency
Day phone
Mailing address
Real Estate Agent
Lisa Herrington / Dynamic Properties Day phone 646-0525
Mailing Address
3111 C St., Ste. 100, Anchorage, AK 99503
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
3. .TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well
0 Individual On-site El
Individual Water Storage
❑ Individual Holding tank ❑
Community Class
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 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. 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. (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 Health Authority Approval Guidelines for this application, shows that the
on-site water supply andfor 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 andfor
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 Watkins Engineering. Inc.
Add P.O. Box 110443, Anchorage, AK 99511-0443
Phone 349-1851
cess
Engineer's Printed Name Cindy W. Ellis Date !'16'65
5. DSD SIGNATURE
_1z Approved for + bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following
• 1
Additional Comments
��: rerFct enln_
WASTEWATER
� O
l'RIJI�
Attachments:
HAA Checklist X Maintenance Agreements
Septic System Advisory Supplemental Engineer's Report
Well Flow Advisory Other
By: / �,(�, �I �l Original Certificate Date: ;2- — G
(Rw.0102)
Municipality of Anchorage
• Development Services Department
Building Safety Division
On-S8e Water S Wastewater Program
4700 South Bragaw St.
P.O. Box 198850 Anchorage, AK 99519.8850
www.muni.org/onsts
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: Vue Tor SID, Lot 7 Parcel ID: 006271-08
A. WELL DATA
Well type PH If A. B, or C provide PWSID S=
Date completed1884 Sanitary seat (Y/N) Y
Total depth 70+ ft. Cased to 70+ ft.
FROM WELL LOG
Date of test NA
Static water level NA ft.
Well production NA 9 -
p.m -WATER SAMPLE RESULTS:
Collfornl 8 colontes/100 ml. Nitrate <0A mg.A.
Arsenic: NA mg.A. Date of sample: y'0ft
B. SEPTICIHOLDING TANK DATA
Tank Type/Material steel
Well Log (YAV) N
Wires property protected (YIN) Y
Casing height (above ground) 32 In.
AT INSPECTION
219/05
ft.
7.4 (nWftW by Piping) g.p.m.
Other bacteria 0 colonies/100 mi.
Collected by: C. Ellie
Date Installed 5/9101
Tank size 1500 gal. Number of Compartments Y Cleanouts (Y/N) Y
Foundation deanout (Y/N) Y Depression over tank (Y/N) n High water alarm (YIN) NA
Date of pumping 2/9/05 Pumper Northland Pumping Services
C. ABSORPTION FIELD DATA
Date Installed 5/9/01 Soil rating (g.p.dAe or fe/bdmt) 0_8
Length 95 ft.
Width 5.0
ii#
System type shallow trench - 5 wile
Gravel below pipe 4.0 ft.
Total depth 9.3 ft. Eft. absorption area 850 ft Monitoring tube 2 Depression over field no
Date of adequacy test 2110/05 Results (Pass/Faiq PASS For 4 bedrooms
Fluid depth in absorption held before test 3 in. Water added_!M gal. New depth 1e in.
Elapsed Time: 384 min. Final fluid depth 9.0 In. Absorption rate x 800 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N b type) None If yes, give date
D. LIFT STATION
Da a4selled WA Size in gallons Manhole/Access (Y1N)
'Pump on" level at _ in. 'Pump o High water alarm level at in.
Datum
Cycles tested
Meets alarm & circuit
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septi: tank/Uft station on lot 110' On adjacent lots 100+
Absorption field on lot 101' On adjacent lots 100•"
Public sewer main 100+ Public sewer manhole/deanout 100+
Sewer /septic service line 95' Holding tank NA
SEPARATION DISTANCES FROM SEPTICMOLDING TANK ON LOT TO:
Building foundation 10' Property line 50' Absorption field 30'
Water main 100+ Water service line 50'+ Surface water 100+
Wells on adjacent kris 100+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 26 Building foundation 20. Water main 100+
Water Service line 70'+ Surface water 100+ Driveway, parldngNetude storage 100'+
Curtain drain 'as tar as P01811)16"* Wells on adjacent lots 100+
F. COMMENTS
1457 gal. presoak prior tD test. 'Well to Lot 6 crib cleanout is 101.7 ft. "Curtain drain as per Inspection report.
G. ENGINEER'S CERTIFICATION
I certify that 1 have determined through Geld inspections and : ` A
review of Munidpal records that the above systems are in Q j
conformance with MOA HAA guidelines in effect on this date.';'
Engineer's Printed Name Cindy W. Ellis
Date 2/16/05 Cin W. Ellis
., C .Ills"
HAA Fee
OD
Date of Payment gcPly-
Receipt Number 6
(Rev. 12101)
Waiver Fee $
Date of Payment
Receipt Number
SGS Ref. #:
Client Name:
Project Name:
Client Sample ID:
Matrix:
PWSID
Sample Remarks:
1050717
Watkins Eng
Vue Tor, Lot 7
Vue Tor, Lot 7
Drinking Water
SGS Environmental Services Inc
200 W. Potter Drive
Anchorage, AK 99518
Tel: (907) 562-2343
Fax: (907) 561-5301
All dates/times are Alaska Standard Time
Printed Date/Time: 02/16/05 14:45
Collected Date/Time: 02/10/05 10:00
Received Date/Time: 02/10/05 16:35
Technical Director: ��tephen de
Released
Allowable Prep Analysis
Parameter Results PQL Units Method Limits Date Date Init
Bacteria 0.00 92228 02/10/05 02/11/05 do
Nitrate 0.1 U 0.10 mg/kg EPA 300.0 10.00 02/11/05 02/11/05 mx
Watkins Engineering, Inc.
P.0 Box 110443, Anchorage, AK 99511
(907)349-1851 fax 349-1934
RE: Swing Ties for Vue Tor S/D, Lot 7
February 16, 2005
Mark
A
B C
FCO1
13.0
36.0 —
FCO2
23.0
27.5 —
STI
21.0
29.5 —
ST2
26.5
35.0 —
DCO
32.0
36.5 —
001
60.0
50.0 —
MT1
60.0
44.5 —
0O2
—
42.0 28.0
MT2
—
35.0 22.0
The pipes are in vaults, at ground level. Both pipes of the DCO are in one vault.
(�`7 v
Cindy W. Ellis, P.E.
49
IdY W. Ellis
CE. town