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HomeMy WebLinkAboutKINCAID HEIGHTS LT 6 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211472 Work Type: Septic Renewal Tax Code Number: 01112206000 Site Legal Address: KINCAID HEIGHTS LT 6 G:2222 Site Mailing Address: 6740 LAUDEN CIR, Anchorage Owner: OWENS JOHN G & KARIN Design Engineer: ARC TERRA CONSULTING INC This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms: 11�cnt oSf L� v Depalrtment 11/12/2021 11/12/2022 43364 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By: Date: Date: 5 MUNICIPALITY OF ANC•RAGE Development Services DepartmentPhone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 011-122-06 Property owner(s) John & Karin Owens Day phone Mailing address 6740 Lauden Circle, Anchorage, AK 99502 Site address 6740 Lauden Circle, Anchorage, AK 99502 Legal description (Sub'd., Block & Lot) Kincaid Heights Lot 6 Legal description (Township, Range & Section) aq qFa Lot Size Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field f Initial ❑ Single Family (SF) ❑ Septic Tank © Upgrade ❑ (w/wo AD U) Holding Tank ElRenewal Q Duplex (D) El Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. Dea Duffus (Signature of property owner or authorized agent) Permit/Rush Fees: $ j q 5 fi 4S 7 Waiver Fees: Date of Payment:IT21 -/ Receipt Number: 02 c( y q G Permit No. 0 SP21 `f'l z Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc o �RCTE/�Rq �P 21�a 4 !{ aK. 965T1'sl). November 12, 2021 c ) IZ R A CONSUI,TING, INC 20441 Ptarmigan Bld, Eagle River, AK 99577 Office (907) 696-6111, Fax (907) 868-3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Septic Leachfield & Tank Upgrade Permit Renewal — Kincaid Hts Lot 6 The owner has requested we proceed forward to renew a septic - leachfield replacement and tank upgrade permit number OSP201368 to upgrade the aged septic field and tank on the subject lot. There have been no changes to conditions or permit. If you have any questions, please contact me at 696-6111 /FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. &eM. uffus, P.E. Attachments: On -Site Sewer Application 20441 PTARMIGAN BLVD - EAGLE RIVER, AK 99577-8736 - PH (907) 868-3791 - FAX (907) 868-3793 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201368 Work Type: Septic Upgrade Tax Code Number: 01112206000 Site Legal Address: KINCAID HEIGHTS LT 6 G:2222 Site Mailing Address: 6740 LAUDEN CIR, Anchorage Owner: OWENS JOHN G & KARIN Design Engineer: ARC TERRA CONSULTING INC This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: ,1�cnt Department 10/2/2020 10/2/2021 43364 2 Disposal Field Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: rPolicy W.05, if a steel septic tank with a a conventional coating is over 10years old, it should be exposed and inspected for holes at the time ofconstruction to replace a failed drainfield. Received By: SO f �d�lea a. -f a•� k �o /7ei��� 7/Z�► Date: Issued By: ,� Date: T� 5 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 011-122-06 Property owner(s) John & Karin Owens Day phone Mailing address 6740 Lauden Circle, Anchorage, AK 99502 Site address 6740 Lauden Circle, Anchorage, AK 99502 Legal description (Sub'd., Block & Lot) Kincaid Heights Lot 6 Legal description (Township, Range & Section) Lot Size 43,364 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field F� initial ❑ Single Family (SF) Q (w/wo ADU) Septic Tank 19 co 4t1 Upgrade Duplex ❑ (D) Holding Tank ElRenewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. Dea Duffus (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. a S P 13 (.3 Waiver Fees: _ Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc r m 1 �FtCTc f?R� rc 'y S •L,f'°'h�q Stili ING •Di�6L nK. vUT• July 26, 2021 ARCT ERi-ZA CONSULTING, INC 20441 Ptarmigan Bld, Eagle River, AK 99577 Office (907) 696-6111, Fax (907) 868-3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Septic Leachfield Upgrade Permit — Kincaid Hts Lot 6 The owner has requested we proceed forward with a change order on OSP201368 to replace the existing septic tank and oversize the field to 6 bedroom capacity. The proposed 5 -bedroom tank upgrade and 6 -bedroom leach field will serve the existing 5 -bedroom house. We propose using the soil test hole information and replacement site location as submitted with the original design dated 7/7/1994. The property is served by a public water and there are no wells within 100 feet. The surrounding properties are also on public water. There is no surface water within 100' of the proposed field. The new field will be installed at least 16 feet from the existing trench and a diverter valve will be installed to the existing trench. We do not expect there to be any adverse effect on adjacent lots by the development of this tank. If you have any questions, please contact me at 696-6111 /FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Kermeth M. 1L s, P.E. Attachments: On -Site Sewer Application Wastewater Absorption System Details/Site Plan 20441 PTARMIGAN BLVD • EAGLE RIVER, AIC 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 co --4T-1 WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN KINCAID HEIGHT LOT 6 PID# 011-122-06 o_ s0 0 cf Z GO 00.1 'CQ' ON s O{ APPROXIMATE WATER CIO\\ Q� rn UNE LOCATION y 1F�r E� O m Scalel 1'= 30' FLAG PROPERTY LINES WELL RADII & EASEMENTS PRI❑R TO C❑NSTRUCTI❑N DESIGN DETAILS 6 BDRM X 150 GPD = 900 GPD 900 GPD/1.2 GPD PER SQ. FT.= 750 SQ. FT (750 / 2')/(8' ED) = 46,9 FT. TRENCH USE 1 TRENCH, 47' (L) X 3' (W) X 8' (D) Total depth of system is 12' max from original grade. Total depth of gravel below distribution pipe is 8' . �< OF�� * 4 TH KENNETH M D S 1 P� CE— �a T�, ® VSs 0Adir PREPARED FOR: JOHN ❑WENS 6740 LAUDEN CIR. ANCHORAGE, AK 99502 FIELD BOOKS BOUNDARY. N /A srAK'Nc N /A ASBUILT.. L.A.B. DWG. FILE. ACRD FILE FILE COMPUTED: DRAWN: KSD CHECKED: KMD DATE: 7/26 / GRID: SN22, '108 NO' 20189 NOTES; NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 700' OF 1. INSTALL 1500 GAL. TANK & INSULATE TANK IF <4' COVER. PROPOSED SYSTEM EXCEPT AS NOTED. 2. INSULATE TRENCH WITH 2' HD BURIAL FOAM IF < 3' OF FILL. NO SEPTIC SYSTEMS WITHIN 200' of PROPOSED WELL EXCEPT AS NOTED. MIN. 2' FILL WITH INSULATI❑N, >3' COVER NO INSUL REQ. 3. INSTALL DIVERTER TO CONNECT TRENCHES. 4, TANK TO HAVE MIN. 20' MANWAY RISER PER CODE. 5. CONTRACTOR WILL ENSURE MINIMUM 27 SLOPE INT❑ SEPTIC TANK. 6. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC... PAGE 1 OF 1 �< OF�� * 4 TH KENNETH M D S 1 P� CE— �a T�, ® VSs 0Adir PREPARED FOR: JOHN ❑WENS 6740 LAUDEN CIR. ANCHORAGE, AK 99502 FIELD BOOKS BOUNDARY. N /A srAK'Nc N /A ASBUILT.. L.A.B. DWG. FILE. ACRD FILE FILE COMPUTED: DRAWN: KSD CHECKED: KMD DATE: 7/26 / GRID: SN22, '108 NO' 20189 MINUAM H,tIUH I �i kiUBDIVISION LOT 6 (� Cj ,2 wl S�,3` 43,364 S.F. Municipality of Anchorage Page / of 7-- ' ' 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: SV'J~L'IO~'~ PID Number: 0111 Name: ~ ~ ~Y~b~ Wastewater System: ~ New ~ Upgrade ~ ,~P~ 7,,~ZzP~, ~,~, ~957V ABSORPTION FIELD: No, of B~oms: Phone~j~ ~/~5 ~5~ ~ Deep Trench D Shallow Trench ~Bed UMound DOther Total Depth from ~riginal grade: ~ LEGAL DESCRIPTION SoilRating: j,~ GPD/Sq. Ft. j~' Lot~ ~ Block: Subdivision: Depth to pipe b0t~om from oriel grade: Gravel depth beneath pipe Township: Range: Section: Fill added above original grade: Gravel length: · Number of lines: Distance ~e~een lines: w~ ~ New ~ Upgrade Gravel~.~ ~ Ft. I / ~ Ft. WELL: Classification (Private A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: ~. Fl, se~ ~t. Driller: Date Drilled: StaticWaler Level: Insl~ller: Date Installed: Ft. Ft. TANK SEPARATION DISTANCES ~ s~pt~c ~ Ho~di,g ~ S.T.E.P. TO Septic Absorption Lift Holding ~ubllc/Prlva[eManufacturer: Capacity In gallons: F~o~ ~.n~ .i.~ S~a.o. ~..~ S~w.rLi.,, AH~. ~ ~ I~ Well ~l ~ F/~ ¢/~ ) Material:~ Number of Compadments:~O Surface W~ter % '~> LIFT STATION Lot ~01 4 q~l +50' Size in gallons: J Manufacturer: Line Foundation ~f +bi N/A "Pump on" level at: J 'rpump off" level at: J High water, larm at: CudainDrain ~ , ~ Pump Make & Model J Electrical Inspections pedormed by: Remarks: A~0 ~[~¢[ %UCP¢~ BENCH ~ARK koeation and Doscdpfion: J Assumed Elevation: J00~ ENGINEER'S SEAL Inspections performed by: ~[Ig[[ ~HG~N[E[IN¢ Dates: 1st ~/~[/qfl ~; ; '~' ....... ~,, aJth Department of He u ices apProval -,;~0 % ... ;.,~ ~. ' ~~~/~~ u ate: ,/ "/ ~:~ 7 .......... ,~ Reviewed and approved 72~013 (1/91) MOA 25 Permit No. ~/,f/<2&/P~.-G~ Page ,~ _of ~ 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: ~¢ATER LINE VACANT i ./ HDUSE /- /- ELEVATIBNS (NDT TU SCALE) ~r% TDP DLOCK FDN e BAY VIN ~.~ ASSUHED ELEV = ]00.00' VACANT VACANT \ \ \ SCALE SWINGS A-I) = 17.6' A-E = 34,4' A-F = 18,4' ]~-F -~ 22,6' C-I) = 35.9' 6-E ~ 53,9' 1 =60; · MONITOR TUBE o SEWER CLEANOUT 4,- KEYBbx PROPOSED LEACHFIELD -- -- - EASEMENT 72-013 A (Rev g/g1) MOA 25 NU ,~ 71.7' PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES ,~! P.O. BOX 196650, 825 "L" STREET, ROOM 502~ ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW940258 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES OWNER NAME:RYLANDER ROBERT A OWNER ADDRESS: DATE ISSUED: 7/22/94 EXPIRATION DATE: 7/22/95 PARCEL ID:01112206 LEGAL DESCRIPTION: KINCAID HEIGHTS LT LOT SIZE: 43364 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BY: Louis Butera, P.E. Registered Civil Engineer July 11, 1994 Jim Cross Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Kincaid Heights Lot 6 Narrative Dear Mr. Cross: The proposed septic will have very limited impact on adjacent properties for the following reasons: 1. 2. 3. 4. The surrounding lots are large, allowing sufficient room for septic sites. Immediate neighboring septic systems are all +30' distance. Reserve space is adequate, due to absorption capacity, and a public water source. Drainage will not be affected and is not a major consideration in our design. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. \C:\WPWIN60\WPDOCS\1994\94-042A.NAR RO. Box 773294 · Eagle River, Alaska 99577 · Telephone (907) 6944195 · Pax (907) 694-3297 VAC />- - KEYBOX PROPOSED LEACHFIELD SEPTIC SITE PLAN LEGAL: KINCAID HEIGHTS, LOT 6 OWNER: THORNLOW, INGALLS, DIEMER CONTRACTOR: JOHN C HAGMEIER CO., INC. ~.~9TH JOB ~ 94-042 I DATE: o7/o8/941 SCALE 1" I.- A EAGLE R/VER, AK. 99577 ~.~o~ ss ,o~~_ (.so7) ss4-5~ss ~nx.. (so7) ss4-s297 ',,,,~..- SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: Kincaid Heights Lot 6 GENERAL 1. The water line and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. TRENCH I. The trench is to follow the natural land contour to maintain uniform total depth of the trench bottom. 2. The bottom of the trench shall be level, plus or minus 1.5". 3. The total depth of the trench excavation is not to exceed 12' at any point. 4. The sewer line is to replace the existing sewer line that leads to the existing pit. 5. The trench gravel is to be covered with typar fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the leachfield. 7. The area over the trench is to be finish graded to prevent ponding of surface water runoff. 8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH = 12' TRENCH LENGTH = 40' SOIL RATING = 1.2 GPD/ft2 SEPTIC TANK = 1,500 gallons GRAVEL DEPTH = 8' TRENCH WIDTH = 3' BEDROOM CAPACITY -- 5 Twenty-four (24) hours notice required for all inspections. C:\WPWIN60\WPDOCS\ 1994\94-042A.SPC (ENGINEER S SEAL) Munlclpnllly ol Anchorage DEPARTMENT OF HEAL'IH & ltUMAN SERVICES 82§ "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PE.FOR ,ED OR: d'l-lA r 4 --C OATEPERFORMED: Z--Z-tiff LEGAL DESCRIPTION: '~N~A~ r)lt~rs, L~F~ Township, Range, Seclion: 9 10 11 12 13 14 15 lB 20 F~NgSANP~ H~, SLOPE WAS GROUND WATER ENCOUNTERED? "-~-- IF YES, AT WHAT DEPFH? SITE PLAN Dale: "? - I~f- ?~./ Dale Nel Del)iii to r, iet Time Time Water Drop 1'505;li II PERCOLATION RATI -- {m{rltJlesi,~h) PERC HOLE DIAMETER 1ESl RUN BETWEEN FTAND ~ Fi I , ~ ¢ ..... ~;'¢*¢' :~') CERIlFY IliA! 1HIS TEST WAS PERFORMED ACCORDA~ICEWIII-{ALLSIATEANDMUNiCiPALGUiDELiNESiNEFFECTONTHiSDATE. DATE: 72 008 iRev 4,B5~ ENGINEERING SERVICES P. O. Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694-5195 SHEET NO. CALCULATED BY CHECKED BY SCALE OF DATE 07/13/94 0'7/13/94 DATE Five Bedroom Single Family Dwelling 5 BR x 150 gpd/BR Perc test results ='750gpd ~ !' ! i '~ i =- 3.1 min/ineh @ 7' = 4.2 min/inch @ 5' = use 1.2 gpd/ft2, trench application rate '~ 750 + 1.2 = 625 ft2 Use trench with 8' rock -~' 625 + (8.x2) = 39.1' -> 40' long x 3wide' x 8' rock Tank = (5BR- 3) (250) + 1,000 = 1,500 gallon tank C:\WPWIN 60\WPDO CS\1994\94;042A. CAL � � 56 789 • *.715,-4,r. . .` B • -� Municipality of Anchorage e . On-Site Water and Wastewater ProgramIvc 46(907) 343-7904 Q ��� 'A ETY .a << N Certificate of On-Site Systems Approvao 6 8 L 9 9'1 Parcel I.D. 011-122-06 Expiration Date: ! -2--0- i7 1. GENERAL INFORMATION: Complete legal description KINCAID HEIGHTS; LOT 6 Location (site address) 6740 Lauden Circle 99502*Anchorage Current Property owner(s) Fumiko And Henry Morozumi Day phone 441-4508 Mailing address 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: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ® Public Sewer ❑ WaiverNariance request for: Distance: ill i i Received by: Via Date: /2/3143 COSA to be released to the n•r-er,unles • herwise requested by the engineer. COSA Fee $ cJ Waiver Fee $ Date of Payment A Al aS 0-0 A Date of Payment Receipt Number o M0 5Receipt Number COSA# d❑C AS 1 (DTA 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. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: it i"I- +a/i In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system oQ OF 4 / X % in accordance with the guidelines and regulations established by the Municipality of Anchorage and o C,.• .. •`• �1 c�Q industry practices. The reported results describe the condition of the system/s on the date/s of the p P�•' / 7.. �Oi1 evaluation. Separation distances were measured to readily identifiable features. Hidden defects or Q :.• 4 n T ".' V0 encroachments may exist that were not identified during the evaluation. The operational life of all wells ,i * , ;1 )� . *VO/' and septic systems depend upon a variety of variables, including but not limited to, soil conditions, / u groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary,and Q .. Q are outside the control of GEG. Satisfactory test results do not guarantee future performance of the Q •••J- "f :y •. Gar ess, system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of V0 CE-795• QD the well or septic system. GEG makes no representation whether an alternative well or septic system s c ' can be installed on the property in the event either of the current systems fail to perform adequately in 40'` •••.1.1.1V,-;-.t ,�o the future. The content of this report is for the sole benefit of the person/party that retained GEG to %Qedpro fess�000\ perform the evaluation. Reliance upon the information provided in this report by any other person or \OOOOo�Q party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE / System #1 Approved for S bedrooms System #2 Approved for bedrooms \v ,>,�‘ ` `' ,u., Disapproved .. L ON-SITE �c; Conditional approval for bedrooms, with the following s�ti ulatl�l►' ER AND rn WASTEWATER z PROGRAM o --� By: `----.....j� Original Certificate Date: 11.:— S"--1 g 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 x' Arsenic Advisory Well Flow Advisory Other \ ava 20 Iea,V' COSA blue sheet 10-10-12.doc If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: KINCAID HEIGHTS; LOT 6 Parcel ID: 011-122-06 A. WELL DATA AWWU Well type If A, B, or C provide PWSID# Well Log (Y/N) Date completed Sanitary seal (Y/N) Wires properly protected (Y/N Total depth ft. Cased to ft. Casing height(abo - •round) in. FROM WELL LOG AT I -` CTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RES : Coliform colonies/100 ml. Nitrate mg./L. Collected by: enic: ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA 24 YEAR OLD STEEL SEPTIC TANK MAY BE APPROACHING THE END OF ITS USEFUL LIFE. 50"OF LIQUID ON 11/14/18 Tank Type/Material SEPTIC/STEEL Date installed 9/1/94 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout(Y/N) YES Depression over tank (YIN) NO High water alarm (Y/N) N/A Date of pumping 9/20/18 Pumper ISAAC'S PUMPING SERVICE C. ABSORPTION FIELD DATA -BELOW EXISTING GRADE TO BOTTOM OF MONITORING TUBE Date installed 9/1/94 Soil rating (q.p.d./ for ft2/bdrm) 1.2 System type DEEP TRENCH Length 40 ft. Width 3 ft. Gravel below pipe_ 8.0 ft. Total depth *8.7+ ft. Eff. absorption area 640 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 11/14/18 Results (Pass/Fail) PASS For 5 bedrooms Fluid depth in absorption field before test **30 in. Water added 778 gal. New depth ***37 in. Elapsed Time: 120 min. Final fluid depth***'33 in. Absorption rate >= 750+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N &type) NO If yes, give date - -MONITORING TUBE ON NORTH SIDE OF DRAINFIELD ONLY EXTENDS 2.91 FEET BELOW THE INVERT -MONITORING TUBE ON SOUTH SIDE OF DRAINFIELD ONLY EXTENDS 3.0 FEET BELOW THE INVERT **APPROXIMATLEY 5"BELOW INVERT-SYSTEM 95% FULL. ONLY 2 PEOPLE LIVING IN HOME ***SYSTEM FULL-APROXIMATLEY 1-2 INCHES INTO THE DISTRIBUTION LINE ****2-3 INCHES BELOW INVERT D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at '• wa er alarm level at in. •- -•- Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES AWWU SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main '.• ' sewer manhole/cleanout Sewer/septic service line Holding tank - containment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation "5'+ Property line 5'+ Absorption field 5'+ (ASSUMED) Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM 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 NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *MET CODE AT TIME OF INSTALLATION *---\E OF 4,4 414. G. ENGINEER'S CERTIFICATION , '' •••• . ♦j• *** I certify that I have determined through field inspections and #i• 'g '." iiii : review of Municipal records that the above systems are in • ii • • conformance with MOA COSA guidelines in effect on this •. . 9 •::• •: date. •f^ J> f Garness i=♦ Gi'• _Engineer's Printed Name JEFFREY A.GARNESS ••-i-j . ,• E-79 ...c.. Date IL 11'418,18 .�. PROFESS�A-. LICENSE gIIliiii1"ive:4 #AECC884 (Rev.10/12/12) Municipality of Anchorage F• •, r Development Services Department-46 Building Safety Division Ri • ° SAF Cf Y On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage,AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Septic System Advisory Certificate of On-Site Systems Approval # OSC 181624 During a recent adequacy test on the septic system for Lot 6 of Kincaid Heights subdivision, 30 inches of standing water was observed in the absorption field. This indicates that approximately 95% of the absorption area is inundated. Although this system passed the adequacy test, the remaining life expectancy may be limited. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT i • f r,--e\ 907-343-7904 On-Site Water and Wastewater Section J Fax: 343-7997 www.muni.org/onsite Septic Tank Advisory Certificate of On-Site Systems Approval # 0SC181624 Subdivision: Kincaid Heights, Lot: 6 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 24 years old. Typical replacement costs range from $6,000 to $9,000. 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 20 year old steel tank MAY look like. is .: ..... til 7 .---1,,.: fi;,fit°µ �.. w LL yyyL i I‘ .ri . N j ,,,,z,„,,to., .., i, .,,,::....7,,44z....4 ,i,_7.,, :>" g , ,”. „.-; ss, ....r . . ./ A Soo eiti Y ' "t, 2� • �,a.CSCS • r -, :- w4 1 ' ' Mailing Address:P.O.Box 196650*Anchorage,Alaska 99519-6650*www.muni.org Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 wv~v.ci.anchorag e.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel LD. 011-122-06 1~ GENERAL INFORMATION Expiration Date; Completelegaldescription KINCAID HEIGHTS SUBDN1SION; LOT 6 Location (site address or directions) 6740 LAUDEN CIRCLE * ANCHORAGE~ AK Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address ROBERT RYLANDER P.O. BOX 220587 * ANCHORAGE, AK Day phone 786-2754 Day phone ' DAVE AQUINO w/ PRUDENTIAL JACK WHITE Dayphone 762-3120 3201 'C" ST. SUITE 200 * ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 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. 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 samples. (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. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $I,035.00 at, or pdor to closing for the engineering sen/ices provided. 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 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 tiles and from my investigation and inspection, the on-slle 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 JEFFh~EY A. GARNESS, P.E. Date 337-6179 Engineer's Comments: In conducting this evaluation, AWWC, 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 lest, and separation distances measured to readily identifiable features. The operational life of all 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 sec,ed by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there ara no hidden defects or encroachments. A WWC, Inc. 'can therafora not provide any warranty or future estimate of how long the system will continue lo 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 ia not authorized, nor will it confer any legal tight whatsoever. 5. DSD SIGNATURE ~ Approved for J'~ bedrooms. Disapproved. Conditional approval for __ Attachments: HAA Checklist Septic System Advisory Well Flow Advisory bedrooms, with the fllowing stipulations: ...... ~',~. · ~....~.' ON-51i ff. ... ~: WATERAND : =_ ;. WASTEWATEP, : . Manitenance Agreements ~4~J~.~''''ENT S~'~,'C~~?' Supplemental Engineer's Reort Other (Rev. 12/01) Original Certificate Date: ~"- / ~,~- 0 ~ Municipality of Anchorage Development Se ices Department Bufldlng Safety Division On-Site Water & Wastewater Program 4700 Sou~ Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 w~w~.cLanchorage.ak,us (;07) 343-7;04 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Descriptton: KINCNO HEIGHTS S/D; LOT 6 Parcel ID: 011-122-06 A. WELLDATA PUBLIC WATER Well type ?UeUC If A, B, or C provide PWSID~ ~) ~ ~ Wires p~pedy prote~ed (Y/N) ft. Cased to ff. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test ~ f ,~oduction g.p,m. . g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mi. Nltrete __ JL . co onies/100 mi. '. . . Collected by: Date of sample: _ B. SEPTIC/HOLDING TANK OATA Tank Type/Material STEEL Tank size 1500 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Date of pumping 5/5/2002 C. ABSORPTION FIELD DATA Date installed g/I/lgg4 Length 40 ft. Date installed 9/1/1994 Cleanouts (Y/N) YES High water alarm (Y/N) N/A Total depth 12 .ft. Eft. absorption area 640 ft~ Monitoring lube YES Date of adequacy test 5/5/'2002 Results (Pass/Fail) PASS Fluid depth in absorption field before test 11.5 in. Water added 1119gal. Elapsed Time: 180 min.. Final fluid depth 44 in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) Absorption rate >= NONE KNOWN Depression over field NO For 4 bedrooms New depth 53 in. 600+ g.p.d. If yes, give date - Depression over tank (Y/N) NO Pumper. CHUGACH SEWER & DRAIN B 15'11 Soil rating (~'~r ft~lx:lrm) 1.2 System type DEEP TRENCH Width 3r .ff. Gravel below pipe 8 ft. D. LIFT STATION Date installed Size in gallons ~ In. 'Pump on" I~el at in. 'Pump ~ High w~ter alarm level at ' ~ Cycles tested Meets alarm & circuit requirements?. E. SEP^RATIO. DISTANCES PUBLIC WATER SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main On adjacent lots ~:nholeJcleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field Water main 10'+ Water sewice line 10'+ Sudace water. ,5'+ 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation. 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ Water main 10'+ Driveway, parking/vehicle storage 10'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. · Engineer's Printed I~an~e Date -~/'~/ JEFFREY A. C, ARNESS '{~ HAA Fee $ ~ '7"-'~ · Date of Payment Receipt Number · (Rev, 12/01) Waiver Fee $ Date of Payment Receipt Number : : :,' ': On-Site Services Section · . = · . P.O. Box 196650 Anchorage, Alaska 99519-665,0 CERTIFICATE OF HEALTH AU'FHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 011-122-06 HAA # Parcel I.D. ~ 1. .GENERAL INFORMATION Complete legal description ~caid Heights ~t 6 blUNICIPALITY OF ANCHORAGE  DEPARTMENT Of HEALTH & HUMAN SERVICES :~' Division of Environme6tal Services ...... Location (site address or directions) NHN Lauden Circle, Anchorage Property owner Mailing address Lending agency Robert A. Rylander Day phone C/o 2204 Cleveland Ave.. Anchor~gP.. AW 99517 N/A Day phone 248-6789 (ms~{) Mailing address Agent ~I/A Day phone Address NOTE: Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 5 '., i' ,, TYPE OF WATER SUPPLY: Individual well : ...... x, ~_, ,, ell '- . ,,_, ~,,. , · - Communityw · ~-._; . - Pub lic water x ~'/f' ' If community well system, provide written confirmation from State ADEC httest- lng to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank ' Co mmunity c n-site .... Public sewer NOTE: If community wastewater system, provide' Written confirmation'!rom state AD~C .i' ..... attesting to the legalityand status of system~':. "' '~;-' ': i-' ' -! ~: :-/' :`?' ~ ':":~a'Er.:".,';~::~_~.~.:~. j~,': :a 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 supp y and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my inves.t~ation 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. N~me of Firm ~0],= p-i~r~l.- ~,no'in,~-r"~n~ R~.r"~"~c~Fi Phone 99577 Address ~, ,-, ,~^.. Engineer's signature 694-5195 6. DHHS SIGNATURE "~ ' ' :Approved'for ~ bedrooms. ...... :'Disapproved. Conditional approval for' · ,;'.~ '~'1! ....... bedrooms, with the folloWin~ 'j~? '-Additio.n~l Comments The Municipality of Anchorage Department of Health ant Human Services' (DHHS) issues Health Auth0dty Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not · ' conduct Inspections or analyze data before a certificate is issued. The Municipality of Anchorage is'not ' ', -' , , responsible for errors or omissions in the professional eng neer's work .... - ', .... '. ............................. --,-':~.-.' - "- .....' .--- -: '.- .~-' ..... --: :' .... Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~'/Wzf4//) -~/7'5 ~ ~ Parcel I.D. ~//~/?~ ~ A. Well Data Well type /~/¢,///~ ~/) Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller Cased to FROM WELL LOG Date of test Static water level p~. / Well flow ~g. Pump level1 WELL~.. ~/ SEPARATION DISTANCES 'FROM . Septic/holding tank on lot ; On adjacent lots Absorption field on lot / Public sewer main ,// Casing~ Wires properly protect) AT/~CTION ; On adjacent lots Public sewer manhole/cleanout Petroleum tank Nitrate Other bacteria Sewer service line WATER S~M~R~SULTS: Colif~/ Da.a.a~ of sample: Collected by: B. SEPTIC/HOLDi?~G TANK DATA Date installed ~,/DI/~ Tank size Cleanouts (Y/N) ~/~' ~ Foundation cleanout (Y/N) High water alarm (Y/N) Date of pumping Compartments ~- Depression (Y/N) /'//~ Alarm tested (Y/N) /'-//-4 ./~//~ ~ /~/~'/'~? Pumper ,/'/'/~ /4//O SEPARATION DISTANCES FROM SEPTIC/I'[OLDiN~ TANK TO: Well(s) on lot /[///~ TO property line 7L'~ Surface water/drainage On adjacent lots Absorption field Foundation Water main/service line 72-026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electF~~ SEPARATIOI[~I.E~STANCE FROM LIFT STATION TO: ..Well'on lot On adjacent lots ,J~/~nhole/Access (Y/N) ievel~'''''''~ "Pump off" Level at "Pump on" ~ Cycles tested Surface water D. ABSORPTION FIELD DATA Date installed~./~//~ ~ Length /'7/(~ / Width .-~ Total absorption area ~D /¢~ Date of adequacy test /¢/~ ¢ /~/¢ A3 Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Soil rating (GPD/Ft2) /' ~- ., Gravel thickness ~ / Cleanout present (Y/N) /VE'5 Results (pass/fail) /,//.4 for System type Total depth Depression over field (Y/N) After test If yes, give date /¢ / Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots 7 Surface water Curtain drain On adjacent lots 7¢ ¢~..,~) l Property line C-/E) / To existing or abandoned system on lot ./%,//-4 Cutbank ~.//..z] Water main/service line ~-,¢ ~' / Driveway, parking/vehicle storage area ~ ~ / E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guideli~¢~,, ,,,.in 4#ec~::O~, ~, tR~:!~ate4 ~ of th/s ~nspect/o . Signature Engineer's Name ~OVI5 Date 7 ~/ ' .'~ ' / ...... ~.,.,', :." ,~. HAA Fee $ ~--~ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back