HomeMy WebLinkAboutVALLEY VIEW ESTATES #1 BLK 1 LT 15Vail
y View
Block !
Lot 15
#050-521-56
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program. 4700 South Bmgaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
v/ww.cLanchorage.ak.u8 (907) 343-7904 Poge 1 of
On-SEe Waetewater Disposal System and/or Well Inspection Report
Permit Number. SW000387 PID Number:. 050-521-56
Nome:MICHAFL AND CAROL GERSHEL Wastewater System: · New [] Upgrode
Addre~a:
P.O. BOX 771772 * EAGLE RIVER, AK 99577 ABSORPTION FIELD
No. of Bedmoml:
=h°ne:(907) 694--351 2 6 13 Deep Trench · Shollow Trench C] Bed 13 Mound · Off~lre
LEGAl. DESCRIPTION .3.0 ~/~,~ *.1.77 (uAx~uu:)
15 1 VALLEY VIEW EST. #1 1.27 (MAXIMUM) ~ 0.5
- - - SEE DW(~. ~. 66
WELL: · New [] Upgrode 5 ~ 1I
PRIVATE: 280 e,. 40'-5" ~ 330 so. ~t D :~034/F-810/SCH 40 PVC:
~ ~ ~ ~ ~ u~e "~"~GLE: MTN. EXC. ~"~
SULLIVAN W^TE:R Wr~ I S I ~/25/00 1§5 n.
~ ~"~ ""~ I~'~ '~'~ '~' ~ TANK
8 ~ UNKNOWN ~. 2
SEPARATION DISTANCES ·s.puc a.o~.~ng ~S.TZ.~'.
· re s~pu¢ ~du°r' St~onUft Ho~ng~,onk ~,,./~'~ GREER 1000
Well 100'+ 100'+ 100'+ - 25'+ STEEL 1
s~o~o wot.,~oo'. ~oo'. ~oo'. - - LIFT STATION
Lot Une 5'+ 10'+ 5'+ --~ ' - 1500 WESTERN UTILITIES (BIOCYCLE)
Founder;on 5'+ 10'+ 5'+ - - 30.5" 19.5" 45"'
Remarks: *THIS IS A BIOCYCLE TREATMENT UNIT. BENCH MARK
· ,1'o TOP OF' SAND BOTTOM OF SIDING ~ POINT
t~ ..... 100.00
Department of Health,~ .. ~ --~- .~ ,- _and Human Services .approval '~'~[i~:.o~ ~'''' ............ c'~195'-'"'"~<"#'
R&vlewed and approved by:.~a~;~-~--~ Dote:~
pER~R' NUMBER:
swooo3B, AS-BUILT DRAWING
A B
ST1 18.44 44.68
ST2 23.79 48.60
910CY]. 3.3.48 58.07
MT1 41.92 27.9..3
MT2 81.09 104.41
ALASKA WATER & WASTE~VATER c..~.o.
CONSULTANTS, INC., ~
MICHAEL AND CAROL GERSHEL (907) 694-3512 2 OF 3
VALLEY VIEW ESTATES SUBDIVISION; LOT 15, BLOCK 1,
AS-BUILT DRAWING OF NEW SEPTIC SYSTEM
p~Mrr NUMBER:
swooo~B, AS-BUILT DRAWING
~~ ~W I~ ~LON
- ~(AV~~ ~ ~
- 94J4~
9/10/2001
~S~ WATER & WASTEWATER ~
CONSULTAmS, INC.
MICHAEL AND CAROL G/RSHEL (907) 694-5512 ~ ~ OF' ~~,: '~'
PROFILE AS-BUILT DRAWING OF NEW SEPTIC SYSTEM
~ULLIYAtI WATER WELL~
I'A~!
ELECTRIC FP.X NO. : 34641~2 Sep. 11 g:~]l 10:27P, I'1 PI
CARCEL ELECTRIC, INC.
10410 Finlw Cir. ^nchoragc, RK 99~16
Ph: 007-3464030/1"ax: 907-34&.4032
Mayl4, 2001
Michael & Carol Gcrshcl
P.O. Box 771772
Eagle River, AK 99577-1T22
To xvhom it may concern:
Camel Electric bas wired the Bio-Cycle located at Lot 1 $, Block I in Valley View Estates
subdivision in Eagle River, Alaska.
This BIO-Cycle was wired per thc 1999 National Electrical Code. If you bavc m~y
· questlo~, please give me a call.
Steve
General Manager
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Date Issued: Sap 21, 2000
Expiration Date: Sap 21, 2001
Permit Number: SW000387
Legal Description: VALLEY VIEW ESTATES #1 BLK 1 LT 15
Design Engineer: 0041 AK Water & Wastewater Consultant
Owner Name: Eagle Mountain Excavation
Owner Address: HC 83, Box 2426
Eagle River, AK 99577-0000
Parcel ID: 050-521-56
Site Address:
Lot Size: 78214 SQ. FT.
Total Bedrooms: 6 Permit Bedrooms: 6
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. Ail 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 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:
Date:
ALAsi WATER & WASTEWATER
CONSULTANTS, INC,
September 8, 2000
Municipality of Anchorage
Department ofHealth & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Well and Septic Design for Valle}' View Estates Subdivision; Lot 15, Block 1
To whom it may concern:
The proposed 6 bedroom house will be served by a private well and septic system. Two test
holes were excavated on the property. The proposed septic system will be designed within the
30 foot radii oftest hole #1 and #2. We are proposing that a I000 gallon septic tank followed by
a Biocycle aerobic treatment plant, and a five foot wide drainfield 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 due to the overall appearance of the soils
and the use of an approved advanced wastewater system, an application rate of 3 gallons/day/ft2
should be used.
2. TRENCII DESIGN:
a. Percolation Rate: 7 & 9.2 minutes/inch
b. Allowable Application Rate: 3 gallons/day/ft2
c. Number ofBedrooms: 6
d. Design Flow: 900 gallons per day
e. Minimum Absorption Area: 300 ft2
f. Total Depth: 2 feet (maximum - remove all organics)
g. Effective Depth: 0.5 feet
h. Width: 5 feet
i. Reduction Factor: 1.0
i. Minimum Length: 80 feet
j Effective absorption area = 400 ft2
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed
upgrade.
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
4. TOPOGRAPIIY: The average topography of this property is a 20 to 25 percent running
from approximately north to south; in short, there are no slope concerns. The trench is to be
installed parallel to slope contours. There will be no slopes that exceed 25 percent 50 feet
downhill from the trenches after final grading.
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
assistance.
Sincerely
3amess, P.E., M.S.
NOTE: Attached is a siteplan drawing, a design drawing, a detail drawing, two soils logs, attd 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: akwxvc.com
VALLEY ~E'W ESTATES $/0
b LOT 6, BL.OOK 1.
~ VALLL'Y ~IL'W ESTATES S/D
AIASI~ ~%~TER & N%~STE%VATER
GONS~LTANT$, ING.~
EAGLE MOUNTAIN EXO. (g07) 244-52~0 1 OF ~
VALLEY VIEW ESTATES SUBDIVISION; LOT 15. BLOOK l,
SITE P~N FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM
// ~ ~ ._ ._ _ _--..7~ < ~. ~ ~-.....?,~
~~~='~ ~
~...~. ~f/~"
~S~ ~TER & ~STE~TER
, CONSULTANTS, INC.,
PR~ FOR: PHONE NUMBS: P~E NUMBS:
EAGLE MOUNTAIN EXC. (907) 244-5260 2 OF
~ O~CRI~O~:
~. '...
VALLEY VIEW ESTATES SUBDIVISION; LOT 15, BLOCK
DESIGN FOR SEPTIC SYSTEM
9/8/2000
~SI~ ~TER & I~STE~TER ~ ,
, CONSULTANTS, INC.
EAGLE MOUNTAIN EXt. (907) 244-5260 $ OF $ e'~'"~
VALLEY VIEW ESTATES SUBDIVISION; LOT 15, BLOCK 1
DKSIGN PROFIL[ OF TRENCH D~TAIL
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
IsmL LOG - PERCO~TION TESTI
DATE PERFORMED: 8/11/00
SOIL C~SSIFICATION~
SU (LO~) ~ GW ~ ORG
GH CL ~ ~
GC OL ~ NO~: T~HO~ LOtiONS
SW NH ~ ~E ~PROXlmTE
DEPTH TO
~ROUNDWATER DATE
8~ DRY 8/11/00
BEDROCK D~ ~ 8/14/00
~ ~.H~ AT ~'-~' D~ I S/~e/O0
~1 DATE RE. lNG CLOCK NET TINE WATER LEVEL NET DROP
TIHE (HINGES) READING (INCHES)
12 8/14/00 1 5:57 - 6- -
2 4:27 50 2" 4"
1~ 5 4:27 - 6" _
14 5 4:57 _ 6' -
16
PERFORMED BY. A~ WATER & W~A~R. I, JEFFR~ A. OARNESS, CERTI~ THAT THIS
W~ PERFOrMeD IN ACCORDANCE W~ ~ ~ATE ~D UUNICIPAL GUIDEUNES IN EF~CT ON
DATE:
DEPTH TO
~ROUNDWATER DATE
DRY 8/11/00
DRY 8/14/00
DRY 8/~8/oo
ALASKA WATER & WASTEWATER CONSULTANTS, INC. ~-~-~'~,,
69o, oE~, ,~. s~.~ ~. ~c.o~E. ~..9~o4 ~..~.~...~ . :..~/,~q~
PHONE (907) ,357-6179 · FAX (907) 338-.3246
PERFORMED FOR:. ~C~ MOU~NN EX~VATION
zoo .....
~Fe~ OR~ICS reTEST ROLl ~2
.~,:<~ GW ',:-~ ORG 1'=100
GM CL
OC OL ~ NO~: TE~HO~ LOtiONS
.... ~ SW HH ~ ~E ~PROXI~TE
.-. sp CH
~SM OH
CU/SM~ SC ~ ~2 TH~I
D~.m ~o ~ k J
GROUNDWATER DATE
D~ S/11/O0
~RY a/14/00
BEDROCK D~ 8/18/00
I0
ll DATE RE'lNG CLOCK ~ET TIHE WATER LEVEL NET DROP
TmHE (HINGES) READING (INCHES)
12 8/14/00 1 ~:58 - 6- -
2 4:28
1~ 5 4:28 - 6- _
4 4:58 ~0 2 3/4' 3 1/4'
14 5 4:58 _ 6- -
15 6 5:28 30 2 3/4' 3 1/4'
16
17
18
19 PERCO~TION ~TE 9.2 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES)
20 TEST RUN BET~EN 2.0 FT. ~D 2.5 FT.
COHHENTS: PERC. HO~ W~ PRESO~ED 4+ HOURS PRIOR TO TE~NG.
PERFORMED BY A~S~ WATER ~ W~ATER. I, JE~R~ A. GARNESS, CERTI~ ~T THIS
W~ PERFO~ IN ACCORD~CE W~ ~ ~ATE ~D MUNIClP~ GUIDEENES IN EFFECT ON
DATE: fl I~1~)
I /
DEPTH TO
GROUNDWATER DATE
DRY 8/11/00
DRY 8/14/00
DRY 8/18/00
PROPERTY OWNER MAINTENANCE AGREEMENT
ON-SITE WASTEWATER DISPOSAL SYSTEM
This agreement, dated ,~e-ot-: I ~! ,200_~ is made between the Municipality of
Anchorage Department of ltIealth and Human Services (DHHS) and the property owner(s) of
This agreement is made for the purpose of maintaining an on-site wastewater disposal system
on the subject property.
The property owner(s) agree to the following:
The property owner(s) will have an annual inspection of the system performed by a registered
professional engineer. This inspection shall verify that all effluent and air pumps, timers, and
alarms are functioning as designed. Any deficiencies shall be corrected and the engineer's
statement that the system is functioning as designed shall be filed annually with the DHHS.
Property Owner Name
Property Owner Name
(Notarize Here)
Sudicial District ~ $$.
on l=5 of -.o otla in me
ye~ ~ , ~fore me.' ~e ~dersi~ed no~
public. ~o~ly ap~:
· e ~rson(s) whose nme(s) ~/~e ~b~ri~ ~ ~e
wi~ ~ent ~d ac~owl~g~ ~at he/~e/~ey
execut~ ~e sine for ~e pu~ses ~ere~
~nm~ed.
In wimess whereof, I hereunto set my hand and
official seal.,
Notary Public
(Nolar~'s printed name)
My commission expires:.
I - q-Our'
POUCH 6-650
ANCHORAGE. ALASKA 99502-0650
(907) 264-4111
O£;'ARTM[NTO.r tlE/',LTH ,'t;f) ¢.NVIRONMENTALPROTECTION
~Permit #: 820134
,January 31, 1983
TO: Permit Applicant
Subject: Lot 15 Block 1 Valley View Estates Subdivision #1
A permit issued by this department for an individual well
and/or on-site sewer system has expired as of December 31,
1982.
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 needs to be sent
to this department for documentation of the ingtallation
date and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, please have them.send us the as-builts
for our files and documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerel%
Robert C. Pratt, R.S.
Acting Program Manager
Sewer and Water Program
RCP/ljw
enc: Copy of Permit
SWP/057
PERHiT N"
DEPFIRTHEh!T OF' HEFiLTH FiNF:, EN',/iRONMENTRL F'ROTEOTION 825 "L-' STREET., RNCHORFIGE., FIK. .9~5Et1_
( 82Ed..}_:':4 )
[~F'F'L Z C:F:!N T
L CIC:FiT I ON
E, LI,-,, '~ ' ='
LC!T .:, .~. z.E
MR'.iI!'4UH i'.,!Jt"IE~Ef';' !_-Ii::' EE[:,F;'OFli"1% ='
[;OIL RFiTING <SQ F]",.'"E~R)= :J_SC~
'THE LENGTH DIMENSION iS THE LENGTH ,.'.'IN FEET) OF THE TRENC!4, OR DRFIINFIEL!}.
THE DEPTH OF:' Fi TRENCH OR PIT IS THE DISTRNCE E~ETWEEN THE SLIRF'FICE OF' THE
C~ROLIND FIND THE 80TTOM OF THE EXCRVRTZON (ii'.4 FEET).
THERE IS NO SET I.,.!IDTH FOR TRENCHES.
THE GRRVE:L. DEPTH IS THE M!NZI"!t..tH DEPTH OF GRR',,,'EL. E:ETHEEh! THE OI..r'FFF:iL.L. PIPE
FIND THE 80]'TOH OF THE EXCRVFITION ,::IN FEET).
F'ERP1ZT,~t::'c'~ ~ '--,:,~. ~',,, ,- ~ _.,--,.. FiRS THE l~'FcF"-'~'J';]'c I.. ...... ,..,.......~,- ~_.'[Tu, TI iNFORM THIS [.-,_FH!-..I,IEf,1 ,.L, RI,la THE:
~ 'F' ,-' . ........ [,]~_ [:'~'"F'F~"T"¢ FIN[:' THE
ZNSTFILLFFFION ZNSF'EE:TION~ OF HN'¢ h~.Lb:, Rf',.I'FIr':FNT TO -.L~,:; ..
HLMEEF? 0F RESIE:,ENCE:S THR-F THE HELL HILL SERVE.
MINIMUM DIS-FRNC:E 8ETHEEN R !.4E:LL RND RN'¢ ON-SITE E;EI.4RGE DISPOSRL SYSTEM iS
l[SE~ FEET FOR R F'R!'v'RTE !4ELL. OR :1..5C~ TO 2!Z~E~ FEET FROM R P!JSL.IC NELL [:,EPENDIf.,!G
LiF'C$! THE T'WF'E OF PUBLIC !.,.!ELL
MINIMUM DISTRNC:E FROM Fi PRIVR"!"E HELL 'I'0 R F'RIVFITE SEI4ER LINE IS 25 FEET RND
TO R COh!MUNIT¥ SEHER LINE IS 75 FEET.
HELL LOGS FiRE REQUIRED RND f,IUS~' BE RETURNED TO THE DEPRRTHENT HITHIN ZE~ [:,R'~-'S
OF THE HELL COMPLETION.
OTHER REQUIREHENTS MR'T' FIPPL'¢. SPEC]FICRT~ONS FIN[) C:ONSTRUCT!ON DIRGRRHS RRE
BVFiILBSL,E TO INSURE PROF'ER ~NSTaLLm"ZON.
I E:EERTIF"¢ TF!RT
!.: I RM FFiH:EL. IF'IR HITH TH, E REQUIREMENTS FOR ON-E;ITE SEdqER. S Rl",!b HELL. S RS SET
FORTH L-]'¢ ]'HE M, UN:r. CIPF¢__·ZTY OF' RNCHCIRRGE.
2.: I HILL ZNS-FFILL ]'FIE Sb'STEH iN BCC:ORDRI'.,!C:E WITH THE C:ODEi:S.
3:: I UNDERSTFIND THRT THE ON-SITE SEHER S'¢$TE!'q r,!ff/ REQLIIRE EI,,!L. RI:;~tGEEMENT IF THE
REL=;IDE!',!CE IS REMODELED TO INCLUDE I',!OF.:E THF.!N 3: BEDF.:OOMS.
FIPF'LICFINT ,..!.':::'E NOLF!N f .
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION [] PERCOLATION
'
.~/ SOILS LOG - PERCOLATION TEST
[FEE
4
5
6
7
8
9.
11
12
13
14
15-
17
~8
19
20
~ ;~'
PERCOLATION RATE
Depth to
Water
{minutes/inch}
Net
Drop
TEST RUN BETWEEN .-- FT ND FT
MuNICIPALITY OF ANCHORAGE
0
Development :seiwici?5 r';:r?��;I-,t
ie:oar
01.1 -Sits:- V`fater &x v",Jas!r Y' atec r s Ction 'I':C)ft! 9007-1'343-7`904r
i w -C ` 0 --;i 43-7UC37
Certificate of On -Site Systems Approval
Parcel I.D. 050-521-56 Expiration Date: _Nov o(, '2o -q 1
I. GENERAL INFORMATION
Complete legal description VALLEY VIEW ESTATES #1 BLK 1 LT 15
Location (site address) 25800 WILDFLOWER CIR, EAGLE RIVER AK
Current property owner(s) MIKE & CAROL GERSHEL
Day phone
Mailing address SAME
Real estate agent Day phone
2. TYPE OF DWELLING:
Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3, NUMBER OF BEDROOMS: 6 -
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Private Well [D Private Septic C1
Water Storage ❑ Holding Tank ❑
Community Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
Waiver request for: Distance:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
All tank pipes- confirmed, south CO is the correct pipe.
COSA Fee $ 5 JP
Date of Payment�10) ,2
Receipt Number
COSA# 5C),IIgS9
Date:
Waiver Fee $
Date of Payment
Receipt Number
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. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm MIKE N ANDERSON, P.E. Phone 727-8864
Address 4661 NATRONA AVE ANCH AK
Engineer's Printed Name MIKE N ANDERSON, P.E. Date 8-12-29
.f c�'c��';. • 'sir- $
8. DSD SIGNATURE #01 49TH •,
..,..�,
System #1 Approved for 6 bedrooms �• • ;........ . . . . . . . . . . . �;
• MICHAEL N. ANDERSON
System #2 Approved for bedrooms ��• CE -94 9
Disapproved �r�r`r�F •'ull. �• ��\�''
Conditional approval for bedrooms, with the following stipulai PRO>>`
These 1 S an OPCn 10ua 141' pe_ rmi+ -ir i'hiS proper
Permi -I- E 3 a08 /ease con4acJ Pe rmj'i- l%?anerne,1-1
0a 2`42 - 8 1111 4 r i/7 A -- m.t 7 i'0,17 o fi Avtd-fo Close A i s o u- /
By: Original Certificate Date: � 0 a I
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.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist blue sheet
J
Legal Description: VALLEY VIEW ESTATES #1 BLK 1 LT 15
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled "'5-'2000
Total depth 280 ft
Cased to 40'-5" ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 24„ in.
Date of flow test for COSA 7123/21
Static water level at beginning of test 191 ft.
Comments
B. TANK DATA
Age of tank(s) 21 years
Tank type/material s"d'J$t"`
Measured operating fluid level in septic tank 48"
❑ Standpipes/foundation cleanout per record drawing
Date of pumping see Biocycle record '7/23 .Z t
D. ABSORPTION FIELD DATA Biocycle system
Which system tested (date installed) 9128124
❑ ALL standpipes present per record drawing
Total measured depth from grade 4.5 ft (max)
Measured depth to pipe invert from grade ft (min)
❑ N/A — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective
❑ Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced 0 gallons
Comments/Deficiencies;
COSA Checklist yellow sheet
Parcel ID: 050-521-56
Structure served by this system
Well production at time of test 5+ gpm
Water storage tank volume 0 gallons
Well disinfected for coliform test? ❑ Yes OR No
❑ Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by MNA
Date of Sample 7123/21
C. LIFT STATION
❑ Required maintenance completed
Age of lift station 21 years
Lift station material fiberglass
Comments:
Adequacy test date 7123121
Results Q✓ Pass For 6 bedrooms
Fluid depth prior to test 0 in
Water added 1000+ gal
New depth 0 in
Elapsed time 1440 min
Final fluid depth 0 in
Absorption rate 1000+ gpd
Any rejuvenation treatment (past 12 months)
If yes, enter date
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
❑ Yes
if No
Community Sewer Manhole/Cleanout > 100'
❑v Yes
if No
_ ft
vM Yes
if No _ ft
Neighboring Tank > 100' ❑v Yes
if No
_ ft
Private Sewer/Septic Line > 25' Q✓ Yes
if No _ ft
Absorption Field on Lot > 100' ❑v Yes
if No
_ ft
Holding Tank > 100` ❑✓ Yes
if No _ ft
Neighboring Absorption Fields > 100'
Water Main > 10'❑
if No_
Animal Containment > 50' E✓ Yes
if No _ ft
Ev Yes
if No
ft
Water Service Line > 10'
_ ft
Yes
if No
_
Manure/Animal Excreta Storage > 100'
comment below
Community Sewer Main > 75' ❑v Yes
if No
_ ft
❑✓ Yes
if No _ It
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
❑ Yes
if No
*5'+ ft
Surface Water > 100'
Yes if No _ It
Property Line > 5'
Yes
if No
_ ft
Wells on Adjacent Lots:
Water Main > 10'✓Q
Absorption Field > 5'
❑✓
Yes
if No
_ ft
Private Wells > 100'
❑✓ Yes if No _ It
Water Main > 10'❑
if No_
Yes
if No
_ ft
Community Wells > 200'
Q Yes if No _ ft
Water Service Line > 10'
_ ft
Yes
if No
_ ft
If septic tank is under driveway
comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10'
Yes
if No
_ ft
If absorption field is under driveway comment below
Property Line > 10'❑
Yes
if No
_ ft
Wells on Adjacent Lots:
Water Main > 10'✓Q
Yes
if No
_ ft
Private Wells > 100' Yes if No _ ft
Water Service Line > 10'✓Q
Yes
if No_
ft
Community Wells > 200' Yes if No _ ft
Surface Water > 100'vQ
Yes
if No
_ ft
F. ENGINEER'S COMMENTS
5' allowed under old code
G. ENGINEER'S CERTIFICATION
1 certify that 1 have determined through field inspections and review
of Municipal records that the above systems are in conformance with
MOA COSA guidelines in effect on this date.
COSA Checklist yellow sheet
�
eq �t
� e
.. 49TH
�• S. ......�
-.MICHAEL N. ANDERSON
�� F.9' •
CE -
'0
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904
On‐Site Water and Wastewater Section Fax: 343‐7997
www.muni.org/onsite
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org
Septic Tank Advisory
Certificate of On‐Site Systems Approval # OSC211459
Subdivision: Valley View Estates #1 Block:1, Lot: 15
The septic tank for this property is 21 years old. The average life for a steel septic
tank is 20 years. Typical replacement costs range from $7,000 to $11,000.
This advisory must be attached to all copies of the subject Certificate of On‐Site
Systems Approval.
This is an example of what the metal of a 30 year old steel tank MAY look like.
!JaC E
Anchorage AK 99503
Email: crbioak@abmail.com
(907) 274-0314
Ist Quarter Inspection Report 2021
Homeowner Info
Customer Name: Mike and Carol Gershel
Address: 25800 Wildflower
Tank#: 95 Install Date: Sept. 2000
Initial Inspection:
Area Eagle River
Alarms Tested: Air 171 High Water 171 Battery Tested: Yes R1 No ❑ N/A ❑
(Please make sure alarm is on "normal", not "mote")
Does system have a septic tank ? No ❑ Yes [71 (Recommend pumping tank every 2 years)
Is System Lid Locked? Lid hardware in working order? Is there any noticeable odor?
Yes 171 Repaired ❑ Yes R1 Repaired ❑ Strong ❑ Mild E] None
Inlet plumbing in working order?
Yes 171 Replaced 1-1
System, Inspection
Solids pillow normal?
Yes 171 Requires Pumping ❑
,...�.�":. x � � � ext ?. �. �r z -�' �? �n9,�'�fi"":., � � 'k» �, n .�� x+s � i `y G,c:�i ,».,�",,w�.'x:"�:�r."`i` ."�.e� `� 3-c � �''�x x �vC. ""Y^ , '3• � :.. � "� r �-��.^ S,� '�.,7 �.x �
Are all aerators functioning? Any buildup of solids?
Yes IVI Replaced ❑ Yes ❑ No [,4
Clarification return system operating? Any buildup of solids?
Yes FVJ Adjusted ❑ Yes ❑ No FVJ
,�[� �^ J ,� �� '€� ¢ .: �s� x y ' x fix' �=a., �,.s.„.� s �'� '� :r`".r`x' `�sz.:�'e?.a^ �",�...r��, '�^�.� r.. z✓+.s.x. �:'.� � � .r �. .� � �s'. y
pH Reading: Dissolved Oxygen PPM Turbidity of discharge (in FTU)
(pH of 6-8 is ideal) (2-5 is ideal) (Under 35 FTU is considered compliant.)
7.8 353 5.82
Pump float operating? Alarm float functioning? Any buildup of solids?
Yes F�l Replaced ❑ Yes Z Replaced ❑ Yes ❑ No FVJ
Filter cleaned?
Yes [71 N/A ❑
Comments:
Inspected By: Chris
Discharge line condition:
Good Replaced ❑
Has emailing or mailing of form been requested? Yes 1-1 No
Date: 02/17/21 (contact office to request...) -
-I-- --- -.- "-,-
Anchorage AK 99503
L E"Alaska
Email: ctrbioak@gmail.com
(907) 274-0314
2nd Quarter Inspection Report 2021
Homeowner Info
Customer Name: Mike and Carol Gershel Tank#: 95 Install Date: Sept. 2000
Address: 25800 Wildflower Area Eagle River
Initial Inspection:
Alarms Tested: Air 171 High Water 171 Battery Tested: Yes P1 No F-] N/A ❑
(Please make sure alarm is on "normal", not "mute")
Does system have a septic tank ? No ❑ Yes [71 (Recommend pumping tank every 2 years)
Is System Lid Locked? Lid hardware in working order? Is there any noticeable odor?
Yes Repaired ❑ Yes Repaired ❑ StrongF-]Mild El NoneFV1
System. Inspection
g
Inlet plumbing in working order? Solids pillow normal?
Yes 171 Replaced F Yes 171 Requires Pumping ❑
Are all aerators functioning? Any buildup of solids?
Yes Replaced El Yes F-] No [71
�-rgg
Clarification return system operating? Any buildup of solids?
Yes FVJ Adjusted F-] Yes F-1 No FVJ
0-1
pH Reading: Dissolved Oxygen PPM Turbidity of discharge (in FTU)
(pH of 6-8 is ideal) (2-5 is ideal) (Under 35 FTU is considered compliant.)
7.1 3.4 7.85
Pump float operating? Alarm float functioning? Any buildup of solids?
Yes 0 Replaced F-] Yes 171 Replaced E] Yes F-1 No [71
Filter cleaned? Discharge line condition:
Yes [71 N/A ❑ Good Z ReplacedE]
Comments:
Inspected By: Chris Date: 05/24/21 Has emailing or mailing of form been requested? Yes No
(contact office to request...
MUNICIPALITY OF ANCHORAGE
�01 ra gay -511MAQWWA-01 HIN NVA I 1161W.1"
•
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
6
entered into as of this Day of of 20 by and between
L Co,4—tv,,, AxiD herein the "OWNER," and the Municipaliof
Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15,63.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
1. Advanced Wasteivater Treatment Systems. The Municipality grants penni Ision to the
Owner to utilize and operate an Advanced Wastewater Treatment System (A WTS),
PLY
described as °2'5900 EA
located at (legal description)
2. Mairitenane 11S.
(Owner is required to read, understand and initial each section)
L4(— Throughout the term of this Agreement, the Owner shall enter into a service a
with an AWWTS service and maintenance provider approved by the Municipality or the
manLfacturer's representative. The AWWTS shall be maintained in a satisfactory
cond--tion capable of performing as designed and producing treated septic effluent in
azcotclance with the equipment's approval for operation in the Municipality.
L4L It shall be the responsibility of the Owner during the term of this Agreement t{ pay for all
repai--(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically $400 to $600).
U'VL--' Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
� Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainfield
repla-zement.
(rev. 05/18/2018) Page 1 of 3
(� Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
�i Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
(AICs Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
U<) L Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On -Site Systems Approval.
UV L, Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction, maintenance and repair of the Owner's AWWTS.
(A L Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. Non`vaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
He validity of the Agreement or any part hereof, or the right of the Municipality
Hereafter to enforce every provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
tae Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. ,Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/18/2018) Page 2 of 3
a'att4ga4gataafo
a V i
m AT. Pug
OWNER: SEG ## 7727055
P iY GGPl,MIS510Pd
By• EY.,112021 Mature)
6¢sprint name)
STATE OF *L-AtInA V•,
ss.
THFKD JUDICIAL DISTRICT )
Date: 6 0 b &� )6zi
The foregoing instrument was acknowledged before me this G day of
20 1, by -oC' Dtctir _ evi �N=
�-�L.\ �.7` .V 4�,'tt 4 toga q
NOTARY PUBLIC, FOR *L -A -MS -
My Commission expires: 2021RPUBLIC
r -GU 7727055
V;Y CCi"9itii1SSI0N
' EXPRES '
/1 b
aaPaaraatttaat°
MUNICIPALITY:
By: (signature)
,k. bP.CU., `.o-rr0l�
(print name)
Date:
Title:
(rev. 05/18/2018) Page 3 of 3
LOT 5
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It CN~ R_j 3�4 2� W�LOFL�
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urirrrC.SN
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0
LOT 1 B
0
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0
PAVED
4ELL OCG �L° F9
%*� o. �s
FC
0 SEPTIC
TANK
• SEP71C
VENT
(typ)
LOT 15
9� BLK 1
1�s
KIDS
TREE
HOUSE
EDGE PAVEMENT
EXISTING ROAD
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SILL ROAD 25.4Q'
CD
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ANCHORAGE RECORDING DISTRICT, ALASKA
AS -BUILT OF;
VALLEY VIEW ESTATES ADD Nol
LOT 15 BLOCK 1 PLAT 74-191
SURVEY CERTIFICATE: 1, John L. Schuller. Have conducted a
physical survey of this property as shown on this drawing and that the
improvements situated hereon are within the property lines and no
enchroachments exist other than noted. Under no circumstance should
any information on this drawing be used for construction of fences,
structures, improvements, or for establishing boundary lines.
EXCLUSION NOTES: It is the owners responsibility to determine
the existence of any easements, covenants, or restrictions which
do not appear on the retarded subdivision plat.
21-107
JULY 28. 2021 1 1"=50' 1 schuft Wk.net
JL5 L SW0263 1 210242
Q = FND 518" REBAR
low
OF AL'!
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.H*'•J R LSCULLER•-�%
I5-10408 P�
AW
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S t�'
t
ren n
1831 Talkeetna Street
Anchorage, Alaska 99508
(907) 227-1455 office
(907) 274-4992 fax
Municipality of Anchorage
Development Sentio s Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw SL
P.O. Sox 196650 Anchorage, AK 99519-6650
www. cl.ancttorage.ak.us
(907) ~3-7904
CERTIFICATE OF HEALTH .AUTHORITY .APPROVAL
FOR .A SINGLE FAHILY DWELLING
Parcel I.D. 050-521-56
¶. GENERAL INFORMATION
Expiration Date:
CompletelegaldescrlptJon VALLEY ~IEW ESTATES S/D f~l; LOT 15, BLOCK 1
location (site address or directions) WlLOFLOWER CIRCLE * EAGLE RIVER, AK
Currant Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
MICHAEL AND CAROL GERSHEL
P.O. BOX 771772 * EAGLE RIVER, AK
Dayphone 694-3512
99577
Dayphone
Day phone
Unless otherwfse requested, HAA will be held by DSD for plckup.
2. NUMBER OF BEDROOMS: 6
3. TYPE OFWATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individua! Holding tank
Commun,ty On-site
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates cf Health Authority
Approval (HAA) based only upon the representations given In paragraph 5 by an Independent professional civil
engineer registered In the State of AJaska. Certificates of Health Authority Approval are required for the lmnsfer
of title (except between spouses) for properlJes 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 less than 30 days old. (Certificates may be reissued for a period of
up to one year with valid water sampfes.) 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 enginee~s wor~.
Note:Alaska Water and Wastewater Consuitants, Inc. shall be paid $550.OO at, or pdcr I
to dosing for the engineering sen/ices provided.
I
4. STATEMENTOF 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 precadures outlined in the Health Authority 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 bedreoms and hype of structure indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage files and from my Investigation and Inspect'on, 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 DEBAER ROAD, SUITE 2B * ANCHORACE, AK 99504
Engineer's Printed Name JEFFREY A, CARNESS, P.E.
Date
337- 6179
Engineer's Comments:
In conducting this evalueCon, A WWC, Inc. attempted to provfde a thorough,
consclenEous engineering enalysis of the system in accordance with ADEC end MOA
DSD Guldoflnes & Regutation=. The reported mselts doscfibed the performance of the
system under the conditions encountered et the time of the tasf, end separation
distances measured to readily identifiable features. The operational FEe of all wells and
septic systems depend on the local soEs condition, groundwater levels that may
fluctuate dudng ~he year, and the water usage of ff~e femlly being sen/ed by the system.
These conditions ara oots~de the conbol of the evelualor of the system..Satisfecf~y test
msuita do not guarantee future performance of the system, nor do they guarantee that
them era no hidden defects or encroachments. AWWC, Inc. can therefore not ptovfde
eny warranty orfutum estimate of l~ow long the system will continue to meet the
operational mqulmmenta of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any m#ance upon or use of this report by any
other pe~on or perty Is not euthortzed, nor will lt confer any legal fight whatsoever.
DSD SIGNATURE ~.k~.'. \'~
[/'/- Approved for I.o bedrooms. ~"~..~. · '
Disapproved. ~.' WATER AND
Conditional approval for . bedrooms, with the tilowtng stipulations:~
Attachments:
HAA Checldist
Septic System Advisory
Well Flow Advisory
Manitenanca Agreements
Supplemental Engineer's Reort
Other
Original Certincato Dato: ~" / '~ - ~) /
Municipality of Anchorage
Development Services Department
On. Site Water & W~er Program
P.O. BOx 196850 .~, AK 9951~.6650
~v. ci.anclxxage.ak.us
HEALTH AUTHORITY APPROVAL CHECKLIST
LegalDe~plinrc V,~ry VIEW ESTATES S/'D I~1; LOT 15t BLOCK 1 ParcellD: 050-521-56
A. WELLDATA
Well ty~) PRfVATI~ ~fA., B, orC provide FqN~lD~ N/A
Date completed 9/'25/2000 Sallltery ~ (Y/N) ,YES
Total depth 280 It, Cased to 40'-5' fL
Well Log (Y/N) YES
wires pmpee/p~:ted (Y/N)
Caalng height (above ground) 24 In.
Date of test
Stetl¢ wator leval
Well pmducfien
WATER 8AMPLE RESULTS:
Date of ~ample: 9/5/20m
B. SEPTIC, MOLDING TANK DATA
FROM W~ I: LOG
9/'25/'2000
195 It.
8 g.p.m.
AT INSPECTION
g.p.m.
O~er becteda ~
AWWCf INC.
Tank Type/Material STEEL
Tank size 1000 gal. Number of Comparlmente 1
Foundal/oncleanout(Y/N) YES Dapresslonovertenk(Y/N) NO
Date of pumping NEW Pumper. -
ABSORPTION FIELD DATA *APPMCA'nON RATE FOR BIOCYCLE TREATUE]~r UNIT
**BD. OW fiNAL GRADE
so, ra.ng
Length 66 , fL ~ 5 fL
Date Installed, 9/'28-30/'2000
C;eanout~ (y/N) YES
High water alarm (Y/N) N/'A
Systemtype SHALLOW TRENCH
Gravel below pipe 0.5 fL
Total deplh**4~s--~ fL Eff. atmorplionama 330 ft' Monltmtngtube
Date ofadequacytest NEW Results (Pass/Fall) -
Fluid depth In ab~ field before test - I~ Water added - gal.
Any rejuwnalion treatment (past 12 mo.) (Y/N & type)
Depression overfleld NO
For 6 bedrooms
New deplh - In.
- g.p.d.
If yes, give date -
D. UFT STATION
Data Installed 9/28-30/00
· Pump on' level et 30.5 In.
Datum BOll'OM OF TANK
F- SEPARATION DISTANCES
SEPARATION OISTANCES FROM WELL ON LOT TO:
· Pump off level at 19.5 in.
Cycles tested NEW
NOTE: THIS IS FOR THE BIOCYCLE TREATMENT UNIT.
Size In Oallms 15OO Manhole/Access (Y/N) YES
Hlgh water alarm level at 4.5 In.
Meets alarm & circuit redulmments? YES
On adjacent Iota lOO'+
On adjacent ~ 100'+
Publlc sewer manhole/ctaanout
HMo'lng tank N/A
Septic t;m~
A]~oq~on field on lot. lOO'+
Public sewer m;dn N/^
Sewer/esp~ ~erv~ line 25'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Bullcllng foundation 5'+ Property line 5'+
Watar main N//A Water estvlce llne. 10'+
We~ on adjacent lots 150'+
SEPARATION OISTANCE FROM ABSORPTION FIELD ON LOT TO.'
At--on field
Surface water
5'+
100'+
Water main N/A
O~eway, patting/vehicle storage
Property line 10'+
Water ~ervtce line 10'+
Curtain drain NONE KNOWN
$u~d~g foundaUon 10'+
Sutfaes water 100'+
Wells on adjacent lots 150'+
10'+
F. COMMENT8
HAA Fee $ ,'~(~O'O0
Waiver Fee $
Date of Payment
Receipt Number
