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Home My WebLink AboutKINCAID HEIGHTS LT 8Kincaid H ights Lot 8 #011-122-08 Municipaii of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 w',vw, ci, anchorage, ak. us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D., 011.122-08 1. GENERAL INFORMATION Complete legal description Lot 8 Kincaid Heights S/D Location (site address or directions) Current Property owner(s) John Haqmeier Co Mailing address Lending agency Mailing address Expiration Date: Day phone 248-6789 2204 Cleveland Ave~ Suite 204~ Anch~ AK 99517 Day phone, Rear Estate Agent Mailing Address Day phone Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: _5 TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well TYPE OF WASTEWATER DISPOSAL: ~[] Individual On-site [] Individual Holding tank [] [] Commu. nity On-site [] Public Sewer [] The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 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) on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date cf 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 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. 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 Health Authority Approval application shows that the on-site water supply 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 investigation and inspection, the on- site water supply and/or wastewater disposal system is in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone En.q. Svc. Phone 272-8218 Address P.O. Box 'I02954~ Anch, AK 99510 Engineer's Printed Name ,Steven R. Pannone, P.E. Date 11112/200t Engineers Comments: In conducting an adequacy tcst, I attempt to provide a thorough, conscientious enginenring analysis ol'thc system in accordance,,,,ith MOA DHHS Guidclincs& Regulations. Thc .~.~'~.~C~. r~poncd rcsulls describe thc pcrformanco or thc s~,~tcm undc~ thc condidor~s cncountcrcd at thc limc or thc ~.~"~ ............... -~....~_~.~ test, and scpm'adoa disumccs mcasm-.d to readily id~md£~ablc l'camn:s. T~ opc~adonal lire ot' all ssclls a~d scptic~stemsdcpcmd~thc~ca~s~i~c~nditi~r~nd~.at~r~m.c~sthatm~uctua~:duringth¢yr~ar~ ff.~...'* _.. ~'~ %: ~.~ thc e','~fluator of thru system. All ~'slcms ~,'enma]l¥ t'~1 and sausractos7 test rcsulls do no[ g~ar~u:c I'umrc i~rformance ol'thc system, nor do ~ g~arm~tcc that them ~'c no hidden dcl'ccls or eacroachmen[~-~~ .......... ......~.~ P£S can thcrcrorc nm provide any. warran~ for furore pcH'o~cc nor givc any. estimatc ot'how long thc ~'stcm v, ill condnuc lo mcct thc opcrado~l requirements of thc ADEC or MOA DtIHS. Thc content o1' · ,. . · ' . 6. DHHS SIGNATURE ~ Approved for ,~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory By: /. Expiration Date: X Maintenance Agreements Supplemental Engineer's Report Other Odginal Certificate Date: /I - 1 5---0 I Reissue Date: Legal Description: A. WELL DATA Well type A Date completed Total depth Municipality of Anchorage D vu;up,. .i. Services Depariment Building Safety Division On-S~te Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 An(borage, AK 99619-6~550 www. ci. anchorage.ak.us (907) 343-79O4 HEALTH AUTHORITY APPROVAL CHECKLIST LOT 8 KINCAID HTS IfA, B, or C provide PWSID # ~ Sanitary seal Cased to ft ' FROM WELL LOG ft Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform coloniesll00 mi Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material ~TEEL ft gpm Co Nitrate Collected by: Length 80 fl Totai depth 13.0 fl Date of adequacy test Parcel I.D.: 011-1224)8 Fluid depth in absorption field before test in Elapsed Time: ~ rain Final fluid depth Any rejuvenation treatment (past 12 mo.) (Y/N & type), (Rev. 11/99) mg/I Well Log Wires properly protected Casing height (above ground) AT INSPECTION in. Date installed 11/712001 Tank size 1500 gal Cleenouts Y Foundation cleenout Y Depression over tank _N Date of pumping Pumper NI~'V IN,~TAI,.J.ATIQN ABSORPTION FIELD DATA Date installed 11/7/2001 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.6 Width 3 ft Effective absorption area !25q ft2 Monitoring tube Y Results (Pass/Fail) NI[~N, Water added in fl gp.m Other bacteria coloniesll00 mi Number of Compartments 2 High water alarm NIA System !ype D.T. Gravel below pipe 8.0 ft Depression over field N_._ For bedrooms gal. New depth in. Absorption rate >= gp.d. If yes, give date D. LIFT STATION Date installed 'Pump on' level at Datum Size in gallons in'Pump off' level at Cycles tested in Manhole/Access High water alarm level at in Meets alarm & circuit requirements? On adjacent lots On adjacent lots Public sower manholelcleanout Holding tank E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot NIA Absorption field on lot Public sewer main Sewer/septic service line SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Property line 47 Water service line 25+ Wells on adjacent lots 200+ Building foundation 5 Water main 25+ Drainage 10~- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation 19.3 Surface water 100+ Wetls on adjacent lots. Properly line 37,6 Wat~ Service line 25+ Curtain drain 100+ 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 eftecf on this date. Engineer's Printed Name Steven R. Pannone, P.E. Date 11-12-01 HAA Fee $ ~CO Date of Payment Receipt Number Jo~ ~..~ (Rev. 11/99) Absorption field 8.5 Surface water 100+ Water main 25+ Driveway, parking/vehicle storage 50 m ... '"',,J.~ % Waiver F~ $ Dine ~ Pa~t Receipt Numar Municipality of Anchorage f,~ Department of Health and Human Services .w,~ Building Safety Division .~' On-Site Water and Wastewater Program, 4700 South Sragaw Street P.O. Box1966§0 Anchorage, AK 99519-6650 Page 1 of 3 www.cl,anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: swSW0'I0035 PID Number: 011-122-08 Name: .Inhn Hanmt~it~r ~n Wastewatet System: [] New [] Upgrade ~f}4 Cleveland Av~_. RtJifa ~t34_ Anc. h_ fi.cji'IT ABSORPTION FIELD 248-6789 5 5~De~pTmnch [~$ha~owTm~lc~ I'lBed IFIMo~ld LEGAL DESCRIPTION ~,~: 0,6 ~.o~ 13.3 8 Kincaid Heiohts 5,:~ ~,~,0 0 F,. 80 ~r Well: [] New [] Upgrade c~.~,.,~: 3 ~,. "~'"~'"~'~1 J ~"~'""~':0 Existing Public F,. . 1280 ~ F81013034 PVC ,, John Haqmeier Co 11/712001 ~"": o~ ""~'~ ~. c.,~..~,~.o,.,~, TANK SEPARATION DISTANCES ~ septic [] Holding [] $.T.E.P. [] Other: T~ To Septic Absorptior Lift Holding PuUic/P,~,at~ tt**~,:t~ c,~c~ Tank Field Station Tank S~U~. Anch Tank 1500G,~. wa 200+ 200+ 100+ Steel 2 a~,,,w,,, 100+ 100+ ~ / LIFT STATION t~ 47 37.6/~ ~'~ I ~ 5 19.3 '~""~"'~'~ ~: I~''~'~'~ ~: I c,~,~ ~ 100+ 100 ~"~ u"°a ~'~ Lot served by AWWU BENCH MARK Back Door Stoop 108 Engineer's S~amp Inspections performed by: Pannone Enq. Svc Dates: lt~11/7/2001 ~ '~..' 4~u~ ~, =....' ......... ~.-.~ 2"1110712001 ~= . Department of Health and Human Services approval · ' . ; ,' Reviewed and approved by: ~/'].~'/~_..~-- ~Z/. ~r~Date: /~'l~r-'ol PERMIT NO' SV010035 AS-BUILT WASTEWATER AI]SDRPTION SYSTEM LnT B KINCAID HEIGHTS S/I) P,I.IL NO, 011-12P-08 PRIMARY 80LFx3'xB' RESERVE ~RAINFII BOLFx3'xB' LOT UNCEVELOPED NO WELLS DR SEPTICS W/IN CO0 FT. CO A B FC 14.8 9,7 TI 16.6 7.7 T2 22.1 14,0 C1 25.5 18.2 C2 27.8 21.2 C3 33.0 20.6 MT 45.2 53,6 C4 79,4 91,8 C,\Work\SKINCAIllHTS.I)WG NEW 15009 SEPTIC TANK ~C4 LOT 8 WATER LINE WATER NDTE~ 1) ALLWDRK SHALL ~ IN ACCORCANCE WITH E) MATERIALS USE9 SHALL BE IN BENCH MARK DOOR'~TOOP ELEV 108,0 ~ FC ACCORD~-NCE.WITH THOSE.SPECIFIEI] ~. :~. ~. IN AMC15.GS,'WASTEVATER DISPOSAL. .... 3) CONNECT POST TANK LINE TO MI~- POINT DF ~RAIN FIELg. TYPICAL. 4) INSTALL ~RIVEVAY AT LEAST 5 FT AWAY FROM ~RAINFIEL~. ~ NOT INSTALL ~RIVEVAY OVER ~RAINFIELg. 5) MAINTAIN 10' SEPARATION TO ALL LOT LINES. WATER .~MAIN LOT PUBLIC WATER J ! SYSTEM I~ESIGN, PERC RATEI 19 MIN/INCH SOIL RATING, 0,6 GP/}/SF 250 SF/BEI)RBBM, 5 BEDROOM 1~50 SF REQUIREn0 1500g SEPTIC TANK ]DEEP TRENCH, B' EFFECTIVE IO-IE' TDTAL I~EPTH, BO LF E-3' WIDE, lES0 SF TDTAL PREPARED FOR, John H~g~elep John H~g~elep Co. 2204 Cievetand Ave, Suite 204 Anchorage, AK 99517 C907) 248-6789 PANNDNE ENG. SVC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 Phone & Fax DATE, 1t-ti-O! I AS-BUILT ~CALE, 1'=50' I PERMIT MO, SVOlOO35 DESIGN DETAILS ~?ASTE~ATER ABS~lRPTIDN SYSTEM LeT 8 KINCAII) HEI6HTS NDTD 1) ALLVDRK SHALL ~E PERFORMED IN ACCORDANCE ~ITH AMC15.6~ ~) MATERIAL~ USED SHALL ~E IN ACCORDANCE ~ITH THOSE SPECIFIE~ IN AM015.65, VASTEVATER DISPOSAL. 3) CONNECT POST TANK LINE TD MI~- POINT OF ~RAIN FIELD. TYPICAL. 4) INSTALL DRIVEVAY AT LEAST 5 FT AVAY FROM ~RAINFIEL~. ~0 NOT INSTALL ~RIVEVAY OVER DRAINFIELD. 5) MAINTAIN 10' SEPARATION TO ALL LOT LINES.E~ Z W C,\;,/or k \ B Klnc~lclHt $.0~/O PREPARED FOR, John H~gme~er John Hooneler Co. 2204 Cteve[~nd Ave, Suite 204 Amchoroge, AK 995t7 (907) 248-6789 P.I.D, NO' 011-1~2-0B W PANNDNE ENG, SVC. P. D. ROX 10a954 ANCHORAGE, ALASKA 99510 272-BalB PHONE & FAX DATE. 11-11-01 ^,., .,,..,, .,. NOT TO S~ALE ~o.-.~uu-m MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 09519-6650 (907) 343-7904 11-?-o ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Mar 16, 2001 Expiration Date: Mar 16, 2002 Permit Number: SW010035 Description:~[INCAID HEIGHTS LOT Legal Design Engineer: 0062 Pannone Engineering Services Owner Name: JOHN HAGMEIR COMPANY Owner Address: 2204 CLEVELAND AVENUE ANCHORAGE, AK 99517- Parcel ID: 011-122-08 Site Address: 6701 REKLAS CIRCLE Lot Size: 41941 SQ. FT. Total Bedrooms: 5 Permit Bedrooms: 5 This permit ts 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received ~ Issued By: Date: Date: 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.anchorage.ak.us (907) 343-7904 ON-SITE SEWERJVVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 011.122-08 Permit Number SW Property owner(s) John Ha.qemeier Co, ~.t--Ac't' $~ ~' '['3~[1'~,~ t.~,~.,,x.~Day phone 248-6789 Mailing address (1). 2204 Cleveland Ave Mailing address (2) 6701 Reklas Circle Legal description (Lot, Block & Sub'd.) Lot 8 Kincaid Hts Legal description (Section, Township & Range) Lot Size 41941 ~/Sq.Ft. THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Zip Code 99502 Number of Bedrooms 5 [] Well Only [] [] Water Storage [] [] Jacuzzi [] [] Water Softening Unit [] 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: Date of Payment: Receipt Number: (Rev. 12/00) Waiver Fees: Date of Payment: Receipt Number:. Consulting Engineer {907) 272-8218 P.O. Box 14203 Anchorage, Alaska, 99514 (907)272-8218 Fax March 5, 2001 Municipality of Anchorage Dept. of tlealth & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 8 Kincaid ttcights S/D, Septic System Permit Oenflemen: My firm was contacted to design and install a new septic system for the referenced lot. We conducted a field investigation to locate existing wells and septic system before designing the proposed system. Two test holes were excavated on February 21, 2001 for the system design, which is on ftc with your department. No ground water was encountered. No bedrock was encountered in the test hole. The lot is approximately 0.96 acres in size. Lot 8 slopes to the southeast at a rate of approximately 1-3 percent. The proposed installation will be located on the western portion of the lot in a relatively fiat area. The proposed location is greater than 200 feet away from any wells. This lot is served by AWWU water service. The proposed system will be greater than l0 feet from thc water service lines. The proposed installation will not affect the future development of the surrounding or existing lots. See the attached design. Please contact me at 272-8218 or 227-3522 ffyou have any questions about the proposed installation. Sincerely, Attachments: C:\WOI.I K'xL[~'I'I !R ~,8 KI NCAI DI I'FS.00 I.D(X2 PERMIT NC), SWO1 DESIGN WASTEWATER ABSORPTION SYSTEM LOT B KINCAID HEIGHTS s/n P,I.D. ND, . R~IA'rrv~ Eld-VA*nON PRIMARY 80LFx3'x8' RESERVE DRAINFI BOLFx3'xB' EFFECTI~ LOT UNDEVELOPED ND WELLS OR SEPTICS W/IN 800 FT. O\Work\BKINCAIDHTS,DWG NEW 150[ EPTIC LOT B l T NOTE, 1) ALLWDRK SHALL RE PERFIIRMEDoKv. LAS ¢IRCUC IN ACCORDANCE WITH AMC15.65..Jb~:-~ 8) MATERIALS USED SHALL lac IN ACCORD~NCE~,VITM THOSE:.SPECIFIED =,..~, ~.c:' IN AMC15.65,'WA~TE~ATER DISPOSALS" 3) CONNECT POST TANK LINE TO MID- POINT OF DRAIN FIELD. TYPICAL. 4) INSTALL DRIVEWAY AT LEAST 5 FT A~/AY FROM DRAINFIELD. DO NOT INSTALL DRIVEWAY OVER DRAINFIELD. 5) MAINTAIN 10' SEPARATION TO ALL LOT LINES. PREPARED FOR' John John H~Dneler Co. 8204 Cteve[:nd Ave, Suite Anchor:ge, AK 99517 (907) 848-6789 DESIGN, PERC RATE, 19 MIN/INCH SOIL RATING' 0.6 GPD/SF E50 SF/]~EDRDDM, 5 BEDROOM 1850 SF REQUIRED, 15000 SEPTIC TANK DEEP TRENCH, B' EFFECTIVE 10-18' TnTAL DEPTH, BO LF E-3' WIDE, 1EBD SF TOTAL PANNDNE ENG. SVC P. D. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 Phone & F:x GATE, 3-~-0! DESIGN SCALE~ . 'R.IT SVO DESIGN DETAILS ~/ASTE~/ATER ABSORPTION SYSTEH LOT 8 ~INGAI~ HEIGHTS S/~ NDTD 1) ALLV~ SHALL ~ PERFD~ME~ IN ACCORDANCE ~ITH AMC15.65, ~) MATERIALS USE~ SHALL BE IN ACCORDANCE ~ITH THOSE SPECIFIE~ IN AMC15,65, ~AST~ATER DISPOSAL, 3) CONNECT POST TANK LINE TO HID- POINT OF ~RAIN FIELD. TYPICAL. 4) INSTALL DRIVE~AY AT LEAST 5 FT AVAY FRD~ ~RAINFIEL~, ~0 NOT INSTALL DRIVEVAY OVER ~RAINFIELD. 5) MAINTAIN 10' SEPARATION TO ALL LOT LINES. Z E] W C,\Vor k\ B Kin co, ldH'l;s,I)~,/O PREPARED FOR~ John Hmgmeler John Hmgmeler Co. 2204 Ctevet~nd Ave, Suite 204 Anchorage, AK 995t7 ¢907) 248-6789 P,I.D. W PANNDNE ENG. SVC, P. 0, BOX 102954 ANCHDRAGEo ALASKA 99510 272-8218 PHONE & FAX DATEI 3-5-01 NOT TD ~CALEI DESIGN 8OII,8 LOO - I~ERCOLATION T~ST PANNONE ENGINEERING SERVICES P.O. BOX 102954 ANCHORAOE, AK 99510 (907) 272-8218 John He~neter PERFORMED FOR: .F_,OAL DF_~.~.IFIION; l~t 8 K.i~r~td Hts sw~ OR 8M-ML HOLE BOH DATE PERFORMED:. ~-21411 WAS GROUND WATER ENCOUNTERED? No IY ~, AT WHAT DEFrH~ -O-' DEPTH TO WATER MONITORING? Dry DATE: 3-3-O1 PEROLATION RATE 19 (mtn/inch) PERC HOLE DIAMETER 6 inches TEST RUN BEWTEEN 7 Fl' and 8 FI' COMMENTS: Test hole excavated by John H%~meter Co. Test Hole wa~ presoaked before pere test. PERFORMED BY: 8teven R. Pannone~ P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN F~'~J~"T ON THE DATE OF THIS TEST. PERFORMED FOR: LEGAL DESCRIPTION: OR 8M-ML BOH ~OIL8 LO~ - PERCOLATION TE~T PANNONE ENGINEERING SERVICES P.O. BOX 102954 ANCHORAGE, AK 99S10 (g07~ 272-82 la John Lot 8 Klncaid Hts S/D TF.~T HOLE WAS GROUND WATER ENCOUNTERED? No IF YES, AT WHAT DEPTH~ -0-' DEPTH TO WATER DATE: 3-3-01 TEST HOLE 2-21-0) 12~16 PEROIATION RATE 30 [rain/inch) PERC HOLE DIAMETER 6 inches TEST RUN BEWTEEN 7 Fl' snd 8 PT COMMENTS: Test hole excavated by. John H~.,~meter Co. Test Hole was presoaked before perc test. PERFORMED BY: Steven R. Pannone~ P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST,