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Home My WebLink AboutKINCAID HEIGHTS LT 3Kincaid Heights Block 1 Lot 3 #011-122-03 Municipality of Anchorage Development Services Department Building Safety Division Onsite Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Paye 1 of 3 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SWO10467 PID Number. 011-122-03 Name: BILL w/ COLONY BUILDERS Wastewater System: ■ New ❑ Upgrade Address. 9420 VANGUARD DRIVE a ANCHORAGE. AK 99507 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 345-0371 4 E Deep Trench O Shallow Trench 0 Deed O Mound 0Other LEGAL DESCRIPTION Us 0.6 M/Se. R Taw Depth tam X11.4 MAX R Lot: Block: Subdivision: Depth to pipe wean tram eAalnd Brew« Dre.« depth beneath PIP= 6.30/6.13 3 1 KINCAID HEIGHTS 5.1 MAX R R Township: Range: Section: — — — rN oaeb - - arto qn, r SEE DWG. wv w w4th: 46.5/46 R R Grew .waft a.tmee between W. 15+ WELL: ❑ New ❑ Upgrade 2.5 FL 2 R, Ckwafto bre PMote. As.0 Toldt Coed Tw Total ob.erptwn enNe 1100+ Poe rnalwwt: D 3034/ F-810 SQ.Ftl Deal.: Dal. Drive: Stade watw bwh M1Mr. COLONY BUILDERS Dab WOW: 11/20-26/01 PUB` R P"set Ah coseK "eight man cru TANK WM R R SEPARATION DISTANCES ■septic Cl Holding 13S.T.U. 0Other To Septic Tank AbsorpGon Fletd Llf station HoWinq Tank /Pdwt• s..« une. "'Mi1ac4"� ANCHORAGE TANK Cevoliv h 9 � 250 From Well 200'+ 200'+ — — 25'+ STEEL d ewnpwun.n4 2 Surface water 100'+ too'+ — — — LIFT STATION Lot Line 5'+ 10'+ — — — Sae In eaaon.: Yenubetww•. an Yw at: a: Kph wow obnn a: Foundation 5'+ 10'+ — — — ►ump Yob e.etr wl ewp.elwrw perbnwd by. Curtain Drain NO KNOW BENCH MARK Remarks: —EXTENDED TESTHOLE TO 18.5 FEET NO BEDROCK OR IMPERMEABLE SOILS FOUND taootwn ane D••eNpe•n+ TOP OF CMU FOUNDATION ® POINT "Be Aw"nrd Dostion' 104.86 pt ENGINEERS SEAL Inspections performed by: AWWC. INC. Dates: 1st 11/20/2001 ...... 2nd 11/21-23/2001 3rd 11/26/2001 G.... $$:.. Department of Health and Human Services 4pproval °� •. c 953 `F�p Reviewed and approved by:Date: 6'26•D2— 40ldprofesslo0\ �40000�� (N«. tx/oo) PERMIT NUMBER: AS -BUILT DRAWING PARCEL INUMBER: SW010467 011-11 22-03 INSULATION FINAL GRADE - 103.14 (AVG.) TOP OF TANK 0 X FI n TOP OF TANK AT INLET - 99.90 I I OUTLET - 99.90 INVERT OF BUNG J AT INLET - 99.37 NORTH NEW 1250 GALLON SEPTIC TANK INVERT OF BUNG AT OUTLET - 99.10 UTH MT FINAL GRADE MT FINAL GRADE 101.11 (AVG.) 70).52+ ORIGINAL GRADE ORIGINAL GRADE 97.73-t00.FILTER FABRIC ' 98.89-102.39 73 FILTER FABRIC BOTTOM OF TRENCHE ARE 6'+ ABOVE INVERT OF PIPE IMPERMEABLE SOILS, . 95.65 (AVG.) BEDROCK h GROUNDWATER. 12.5+ BOTTOM OF TRENCH . 89.35 (AVG.) 6/28/2--2 DRAWN BY; ALASKA «7ATBR & «'ASTIZN TATER M.E.W CONSULTANTS, INC. SCALE: n09 OFgnvO PnnO SOrtI 7q • ANfwOPAGF. AN 00501. • OeONF (007)117-0170 • FAX (007151•-07/.6 N.T.S. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BILL w/ COLONY BUILDERS (907) 345-0371 3 OF 3 _EGAL DESCRIPTION: KINCAID HEIGHTS SUBDIVISION; LOT 3, BLOCK 1, TYPE OF WORK: PROFILE AS—BUILT DRAWING OF NEW SEPTIC SYSTEM INVERT OF PIPE 98.52 (AVG.) BOTTOM OF TRENCH 92.39 (AVG.) T �f( Y. .,...ass:.. Q I E 953 Q ey pyo less;on000 PERMITNUMBER: BUILT DRAWING PARCEL NUMBER: SWO AS—BUILT 011-122-03 nALTERNATE SITE I1 � NEW DRNNFlELDS jl I j48.S' IANC iiII C04 -__- #2 THAI CO3 Co II 11 II DaL t U INSTALLED NEW 1250 GALLON SPLITTER SEPTIC TANK I 48'+ too A i ALASKA WATER & WASTENVATER CONSULTANTS. INC. 6901 DFRARR ROAD. SUITE 1R • AN[NORGDF. AK 9050E • RNONF (907)557-0179 • FAX (907)554dT66 PREPARED FOR: PHONE NUMBER: BILL w/ COLONY BUILDERS (907) 345-0371 LEGAL DESCRIPTION: KINCAID HEIGHTS SUBDIVISION: LOT 3, BLOCK 1! TYPE OF WORK: AS—BUILT DRAWING OF NEW SEPTIC SYSTEM rA—T-8-1 STI 12.2 21.5 ST2 20.3 29.7 DBL1 23.2 32.7 DBL2 24.1 33.5 FS 27.4 36.8 C01 46.8 80.3 ARI 47.8 61.1 CO2 51.4 54.3 AR2 52.0 54.9 CO3 63.9 1 76.8 M73 63.3 76.0 01'" 70.8 A1T4 85.6 70.4 C.J.G. LE: 1"=40' E NUMBER: 2OF3 leA LOCATION UNE feNMIJ. g:... C 953 `FRG PERMITNUMBER: AS -BUILT DRAWING P011 Io NUMBER: SWO SW010467 011-122-03 INSULATIONI FINAL GRADE 103.14 (AVC.) TOP OF TANK AT� TOP OF TANK AT INLET - 99.90 OUTLET 99.90 INVERT OF BUNG - AT INLET - 99.37 N RT NEW 1250 GALLON SEPTIC TANK 1NAL GRADE 101.11 (AVC.) \FILTER FABRIC INVERT OF PIPE - 95.65 (AVC.) BOTTOM OF TRENCH - 89.35 (AVC.) 12.5+ ORIGINAL - 98.89 - LV �. ALASKA WATER & WASTE NNIATER CONSULTANTS, INC. 901 DFRARR ROAD. SURF ?R • ANCHORAGF. A6 9050E • F ONF (007)3174170 • FAX (90)))36-3766 EPARED FOR: PHONE NUMBER: BILL w/ COLONY BUILDERS (907) 345-0371 :AL DESCRIPTION: KINCAID HEIGHTS SUBDIVISION; LOT 3, BLOCK 1, 'E OF WORK: PROFILE AS—BUILT DRAWING OF NEW SEPTIC SYSTEM `INVERT OF BUNG AT OUTLET - 99.10 I FABRIC INVERT OF PIPE - 98.52 (AVC.) BOTTOM OF TRENCH - 92.39 (AVCJ BY: J.G. �f• .... 1k, N.T.S....... .. 4 .. .............. . .. NUMBER: O .... ....:.. 3 OF 3 QQ f e A. ess: QQ$� —7953 or, .•' m Opus._ ............. 4tQv� Permit Number: SWO10467 MUNICIPALITY OFANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial /.Z: bCy 0't ///i 3✓ 0/ Date Issued: Nov 14, 2001 Expiration Date: Nov 14, 2002 Parcel ID: 011-122-03 Legal Description: KINCAID HEIGHTS LT 3 Design Engineer: 0041 AK Water & Wastewater Consultan, Site Address: 006751 LAUDEN CIR Owner Name: Bill w/ Colony Builders Lot Size: 46652 SO. FT. Owner Address: 9420 Vanguard Dr. Unit A Total Bedrooms: 4 Permit Bedrooms: 4 Anchorage , AK 99507 - 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. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: Date: L /— 14 — 0/ Municipality of Anchorage Development Services Department j Buiaing Safety DMsIon On•Site Water b Wastewater Program 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 99519-8650 www.d.anc orage.ek.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. OI I — 12a PermitNumber5wOlp46i Property• •J BUILDERS Day phone 345-0371 Mailing :.. .•: 99507 Lr.iral• : r • •n (Lot Block• • • \ : • • •1 • 1I • \ • Lot Size y6 6 S 1. A .Ft THIS APPLICATION IS FOR: Number of Bedrooms 4 Sewer Only 0 Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER k WASTEWATER CONSULTANTS, INC. (Signature eF prieperty owner or authorized agen!) c wrlt Et ut'S� rc�.lcf—� Permit Fees: �y '�4 Waiver Fees, Date of Payment I k — 10 —O I Receipt Number. 0\Q 31 d `ria. Date of Payment Receipt Number. ALASKA WATER & WASTEWATER CONSULTANTS, INC. October 29, 2001 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 Ref: Proposed Septic System for Lot 3, Block 1, Kincaid Heights Subdivision To whom it may concern: The proposed 4 bedroom house will be served by a private septic system and public water. A test hole was excavated in the area of the proposed septic system. We propose that a 1250 gallon septic tank and a dual deep trench type drainfield be installed. Comments regarding the 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, an application rate of 0.6 gallons/day/R2 should be used. 2. TRENCH DESIGN: a. Percolation Rate: 9.2 & 20 minutestinch b. Allowable Application Rate: 0.6 gallons/day/ft2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 1000 ft2 f. Total Depth: 10 feet (max.) g. Effective Depth: 6 feet h. Width: 2.5 feet i. Reduction Factor: N/A j. Minimum Length: 45 feet long each (90 feet total length) k. Effective absorption area = 1080112 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: As can be seen on the attached design drawing, the average topography of this property is a 1 to 5 percent running from approximately southwest to northeast; in short, there are no slope concerns. The trenches are to be installed parallel to slope contours. 6901 Debar Road, Suite 2B • Anchorage, AK 99504 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: akwwc.com I am 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 M.S. NOTE. Attached is a site plan drawing, a design drawing, a topography site plan, a soils log, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B • Anchorage, AK 99504 Ph: (907) 337-6179 0 Fax: (907) 338-3246 0 Website: akwwc.com NOTE: ALL PROPERTIES SHOWN SERVED BY PUBLIC WATER SYSTEM i f f f if --------- KINCAID- ROAD ------------------------------- ALTERNATE SITE -------- --------------- ------------- I 1 I I LOT 1. BLOCK 1 I I KINCAID HEIGHTS 1 ( LOT 2, BLOCK 1 I KINCAID HEIGHTS I I I 1 PROPOSED SEPTIC SYSTEM j1 (SEE DESIGN PAGE 2 OF 2) PROPOSED WATER UNE LOCATION ,•��.N`�� I1 i PROPOSED 4 BEDROOM I MOUSE \ \ I I LOT 4, BLOCK 1 I 1 KINCAID HEIGHTS LOT e, BLOCK 1 \\ \ 1 KINCAID HEIGHTS \ 1 1 \ I 1 I \ I LOT S. BLOCK 1 i� ice• I I KINCAID HEIGHTS I le 0/29/2001 -r—.—_...._ i (� ►,�� `� • •• �yy'4 DRAWN BY: �..._._. _� _1�. e.. .ewe ALASKA WATER & WASTEWATERs K.D.W.y*1;, 1 :C 100, CONSULTANTS, INC. �.... . , „ ...... 6901 DE9Aet ROAD SUTF 19 • ANCHORAGE AK 99504' PHONE 17-0179 • FAX 07x536-3246 /, LEGAL DESCRIPTION: PAGE NUMBER: KINCAID HEIGHTS SUBDIVISION; LOT 3, BLOCK 1, 2 OF 2 �1 f e . or ss.-*? °y�� C 7953 i �a.�/e^ '•.,• PREPARED FOR PHONE NUMBER BILL w/ COLONY BUILDERS (907) 345-0371 cq�� y�7S�dProfessA00f-�'� TYPE OF WORK: SITE PLAN FOR PROPOSED SEPTIC SYSTEM LOCATION I ;�' , NOTE: ALL PROPERTIES SHOWN SERVED BY PUBLIC WATER SYSTEM KINCAID-ROAD --------- ------------------------------- ALTERNATE SITE ---------------------- r-- -------- --------------- - - - - - - - - - - - - - 1 I I 1 I I LOT 1, BLOCK 1 I I KINCAID HEIGHTS 1 1 LOT 2, BLOCK 1 KINCAID HEIGHTS 1 I 1 1 PROPOSED SEPTIC SYSTEM j (SEE DESIGN PACE 2 OF 2) � I PROPOSED WATER I \�� LINE LOCATIONG 1 ! /PROPOSED 4 BEDROOM HOUSE 1 1 y / \ \ I I JODPHUR 5/D 11; LOT j I 1 LOT 4, BLOCK t / I 1 KINCAID HEIGHTS 17ACANT� LOT S. BLOCK 1 \\ \ 1 I KINCAID HEIGHTS \ 1 \ 1 1 I \ 1 1 1 LOT S. BLOCK 1 i i I I KINCAID HEIGHTS I I I �... DATE: 10/29/2001 ' DRAWN BY: ALASKA WATER R WASTEWATERS K.D.W. , �: 7ki �. CONSULTANTS, INC. 1 " c 1001 "......• • • • ••...... * D 6901 OELMRA ROAD SUIE 79 • ANCNORACE, AK 905M. • P1101F(907)337-6179-FAX 07UJlJ246 � (7.... .. ... .. ? LEGAL. DESCRIPTION: PAGE NUMBER KINCAID HEIGHTS SUBDIVISION: LOT 3, BLOCK 1, 2 OF 2 ^ ;j a ys: v�V 95 PREPARED FOR PHONE NUMBER: BILL w/ COLONY BUILDERS (907) 345-0371 J�'• �,I /sem •., . .cqf TYPE OF WORK. SITE PLAN FOR PROPOSED SEPTIC SYSTEM LOCATION INSTALL LIBEL Z200 FLOW SPLOTER�FS) — — — — -- — — — — — — — — — — — — — — I r--- I n PROPOSED DRANFIELD. EXCAVATE ��•�G.� TWO TRENCHES THAT ARE 10 FEET DEEP MAXIMUM BY 2.5 FEET WIDE \�\ �\ \ •+� BY 45 FEET LONG EACH (90 FEET TOTAL LENGTH). ADD a FEET OF \\!� CLEAN. WASHED SEWER DRAJNROCK- TO INSTALL SLOPECHES CONTOU� ILTERNATE MAY REOURIE THE USE OF A� \ \ ILL UFT STATION. \ ll1 INSTALL DOUBLE I I CLEANOUTS (DBU (INSTALL FOUNDATION PROPOSED 1250 CLEANOUT (FCO) GALLON SEPTIC TANK ,z•+/_ I I I I I �'A.i:.�! •• i\� PROPOSED WATER •'?• UNE LOCATION 1 DAM 11/9/2001 e_.. _. _.... _ _ .. _.. _ ORAWN 8Y: C.J.G.ATER '•'f'�� ALASKA WR WASTEWATER app SCANS: CONSULTANTS.INC. 1" c 40' 6901 IWSARR ROAD, SUITE 2e • ANCHORAGE. M 99504 • r ONE 07)331-0I79 • FAX 907)338-3246 O „ , PREPARED FOR: PHONE NUMBER: PAGE NUMBER BILL w/ COLONY BUILDERS 345-0371 1 2 OF 2 e ey . G e s, OQ�°p� •., C 7953 •`�� LEGAL DESCRIPTION: KINCAID HEIGHTS SUBDIVISION: LOT 3, BLOCK 1, 04 O�dP�o/esaLD^fid=' �OO000� TYPE OF WORK: SYSTEM LOCATION DESIGN OF PROPOSED SEPTIC - - - - ------------ r — — — — — INSTALL FLOW I n SPUTTER (FS) PROPOSED DRAINFIELD. EXCAVATE TWO TRENCHES THAT ARE 10 FEET DEEP MAXIMUM UY 2.5 FEET WIDE \ BY 45 FEET LONG EACH (90 FEET \\\\ TOTAL LENGTH). ADD 6 FEET OF \\\\\\ \ I CLEAN. WASHED SEWER DRAINROCK. INSTALL TRENCHES PARALLEL TO SLOPE CONTOURS. ALTERNATE MAY REQUIRE \ \\ \ 11 THE USE OF A� \ \ SLC UFT STATION. DOUBLE IINSTALL CLEANOUTS (DBL) O I INSTALL FOUNDATION CLEANOUT () PROPOSED 1250 i GALLON SEPTIC TANK I I I• I I I i I ' I I I •\ I ''l.i�:• �' \ PROPOSED WATER %a.•, • UNE LOCATION ..�.� DATE: o�sooplp�4 10/29/2001 DRAWN BY. r_..... �..._..._ $�,��. •q p ... 1 •s :' ....._ ._. R ALASKA WATER & WASTEWATE"''G' CONSULTANTS. INC. SCAM' • •• •• c 40' 7 -5246 6001 DEBAR RTS 2B • ANCNORAGe NE AA 99506 • PNO(907)337-6179 • PAX ! AOAD BU ......... Q PREPARED FOR: PHONE NUMBER: PACE NUMBER: BILL w/ COLONY BUILDERS 345-0371 2 OF 2 A G neoB QO p t O -79$3 Olj°ie '' •., ^rdOrotsssl0cI, � ��DOOoocso�$ LEGAL DESCRIPf1 ON: KINCAID HEIGHTS SUBDIVISION; LOT 3, BLOCK 1, TYPE OF WORK:pp DESIGN OF PROPOSED SEPTIC SYSTEM LOCATION ALASKA AVATKR & WASTE WATKR CONSULTANTS, INC. ' AK: b .Y..o.00in SOIL LOG — PERCOLATION TEST LECAL DESCRIPTION: KINCAID HEIGHTS SUBDIVISION; LOT 3, BLOCK 1, PERFORMED FOR: BILL TAYLOR w/ COLONY BUILDERS DATE: 10/26/2001 �8 etTEST HOLE 1 — 1ORGANICS DEPTH 8— :: NET TIME (MINUTES) SOIL CLASSIFICATIONS 10/30/01 1 3:21 SITE PLAN 6' 9 1'=100' 3:51 30 r SP/SM 3 .• — �!:.r c GP 4 ML 3 2 3/40 3 1/4' 5 GM CL 4 •.•. 4:51 30 GC 3 1/4' OL °..0. a SW MH 5 '• •'• SP 13 CH : SM OH 14—.... SC DEPTH 8— :: NET TIME (MINUTES) WATER LEVEL READING n+'z TH/1 10/30/01 1 3:21 SITE PLAN 6' 9 1'=100' 3:51 30 '•• SP/SM 3 3:51 — 10- 0tt — 4 4:21 30 2 3/40 3 1/4' 5 4:21 6' — 11- 4:51 30 2 3/4' 3 1/4' 12—.... 12 ••• 13 .. ;• 14—.... 15- 5 .. 16- 16 17 17 • •• B.O.A. 18- 81920 19- 20— DEPTH TO_ DATE GROUNDWATR DRY 10/26/01 01t{ 11 5 0 l DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING n+'z TH/1 10/30/01 1 3:21 SITE PLAN 6' — 1'=100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 10/30/01 1 3:21 — 6' — 2 3:51 30 2 3/4- 3 1/4- 3 3:51 — 6' — 4 4:21 30 2 3/40 3 1/4' 5 4:21 6' — 6 4:51 30 2 3/4' 3 1/4' PERCOLATION RATE 9.2 (MINANCH) PERC. HOLE DIA. 6' (INCHES) TEST RUN BETWEEN 6.0 FT, AND 7.0 FT, COMMENTS: PERC. HOLE PRE—SOAKED FOR 4+ HOURS. PERC TEST PERFORMED BY CALEB CALL PERFORMED BY ALASKA WATER do WASTEWATER I, JEFFREY A. GARNESS, CERTIFY THAT THIS IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEUNES IN EFFECT ON THIS DATE: — ALASKA WATER & WASTEWATER CONSULTANTS. INC. LECAL DESCRIPTION: KINCAID HEIGHTS SUBDMSION; LOT 3, BLOCK 1, PERFORMED FOR: BILL TAYLOR w/ COLONY BUILDERS DATE: 10/26/2001 DE (fTEST HOLE 2 1 ORGANICS 2 _—_—_ CLOCK TIME SOIL CLASSIFICATIONS TH/2 NET DROP (INCHES) •:•. TH/1 0 o-: GW ORG t — -� GP ML 3 •:•. 1 1/2- GM CL 4 •••• 6' GC OL 4 •� 30 °. •°e SW MH 5 4:20 •'• t SP CH 5'• 6 SM ' OH 4 1/2• •'� SC 7 -•-. e 9 •.•. SP/SM 10 •�� 11 .• i logo 12 13 � • 14 15—.... logo logo 16 .•i • 17 H.O.H. 18- 19— DEPTH 819 DEPTH TO DATE GROUNDWATER DRY 1026 01 OQ� \1 5/01 DATE READING CLOCK TIME NET TIME (MINUTES) TH/2 NET DROP (INCHES) 10/30/01 TH/1 3:20 — t — SITE PLAN 3:50 30 1 •a 100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 10/30/01 1 3:20 — 6' — 2 3:50 30 4 1/2- 1 1/2- 3 3:50 — 6' — 4 4:20 30 4 1/2- 1 1/2- 5 4:20 6' — 6 4:50 30 4 1/2• 1 1/2' PERCOLATION RATE 20 (MIN./INCH) PERC. HOLE DIA. 6' (INCHES) TEST RUN BETWEEN 6.0 FT. AND 7.0 FT. 20 COMMENTS: PERC. HOLE WAS PRE—SOAKED FOR 4+ HOURS. PERC TEST WAS PERFORMED BY CALEB CALL. PERFORMED BY ALASKA WATER do WASTEWATER I, JEFFREY A. GARNESS, CERTIFY THAT THIS W ER IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: I / 01 • ° Municipality of Anchorage On-Site Water and Wastewater Program ;' (907) 343-7904 5 A,F T. CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 011-122-03 _ Expiration Date: /0 .361 1. GENERAL INFORMATION Complete legal description KINCAID HEIGHTS, BLK 1, LOT 3 Location (site address) _6751 LAUDEN CIR ANCHORAGE, AK Current Property owner(s) JEFF BRILEY Day phone Mailing address _SAME Real Estate Agent Day phone 2. TYPE OF DWELLING: Single Family (w/wo ADU) e� lr ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) el° 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WA T:EWAT---; ISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Distance: Received by: A/ Date: /0 /307 COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment /O// /f? Date of Payment Receipt Number d 1-9409.7 Receipt Number COSA# Gt561?gigP. 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 MIKE N ANDERSON,P.E. Phone 727-8864 Address 4661 NATRONA AVE. Engineer's Printed Name MIKE N ANDERSON, PE Date 10/16/17 .l. 6. DSD SIGNATURE ° iiDE:SC J System #1 Approved for bedrooms. r, =' .f,A.U9 System #2 Approved for bedrooms. u °°• '°'°• :t Disapproved. Conditional approval for bedrooms, with the following stipulations: ,��ailllitittir. c-vi OF A ji01, ON-SITE WATER AND :.o WASTFWATER :cr PROGRAM fO44, �SECZ��C' Q , Original Certificate Date: / 0 -3o -17 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 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, BLK 1, LOT 3 Parcel ID: 011-122-03 A. WELL DATA Well type If A. B, or C provide PWSID # Well Log (Y/N) Date completed Sanitary seal (Y/N)_ Wires properly protected (YIN) Total depth _ft. Cased to ft. Casing height (above ground) FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic: ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL Date installed 11/20.26/2001 Tank size 1250 gal. Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout(Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) NA Date of pumping 10-16-17 Pumper AROUND THE CLOCK C. ABSORPTION FIELD DATA— 1985 SYSTEM TESTED Date installed 11/20-26/2001 Soil rating (GPD/SF) 0,6 System type DEEP TRENCH Length 46.5/46 ft. Width 2.5 ft. Gravel below pipe 6.3/6.13 ft Total depth 11,75 ft. Eff. absorption area 1280 ft2 Monitoring tube Y Depression over field N Date of adequacy test 10-16-17 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 660 gal. New depth 0 in Elapsed Time: 1440 min. Final fluid depth 0 in. Absorption rate >= _600+ g.p c Any rejuvenation treatment (past 12 mo.) (YIN & type) UNKNOWN If yes. give date D. LIFT STATION Date installed Size in gallons Manhole/Access(Y/N) `Pump on" level at in. "Pump off' level at in.High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer/septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5' Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 200'+ 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 25'+ Curtain drain 50'+{None Known) Wells on adjacent lots 200'+ F. COMMENTS G. ENGINEER'S CERTIFICATION � . OF / .41 .• r I certify that I have determined through field inspections and %y�.• . i� G"�l review of Municipal records that the above systems are in %'*; Q9Y ".'f• r' conformance with MOA COSA guidelines in effect on this date. ,,•••• '• • Engineer's Printed Name MIKE N. ANDERSON, PF. yp• MICHAEL N. ANDERSCN ; �r . MICHAEL C -i4159 Date 10/19/2017 i//�•• ` . 9F0 �,,`fff1 � ..11l . COSA canary sheet_2-6-15.doc -Municipality of Anchorage •., Development Services Department Building Safety Division a .. .,. V Q on -Sao Water 8 Wastewater Program 1 4700 South Bragaw St . P.O. Box 1$6650 Anchorage, AK 99519.6650 www.Ci.anchorage.ek.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 011-122-03 HAA# 1. GENERAL INFORMATION Expiration Date: .3 — 3 O — 0 6 Complete legal description KINCAID HEIGHTS SUBDMSION: LOT 3, Location (site address or directions) (DgSI LAUDEN CIRCLE • ANCHORAGE. AK 99502' Current Property owners) AL LEVINSOHN Day phone 351-3789 Mailing address Lending agency Mailing address 6751 I.AUDEN CIRCLE • ANCHORAGE. AK. 99502 Day phone Real Estate Agent Day phone Mailing address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site lit Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System lit 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. 4. STATEMENT OF INSPECTION BY ENGINEER As certirred 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 AuthorityApproval Guidelines for this application, shows that the onsite 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 onsite water supply and/or wastewater disposal system is(are) in compliance with off applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Finn GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough„ conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines d 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 identfiable features. The operational #to ofall wells and septic systems depend on the local w#s condition, groundwater levels that may fluctuate during the year, and the water usage of the famly being served by the system. These conditions are outside Me control of the evaluator of Me system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sofa benefit of the ownerlisted above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will it conferany legal right whatsoever. 5. DSD SIGNATURE Io' Approved for Ll' bedrooms. Disapproved. Phone 337-6179 Date // 0 Conditional approval for bedrooms, with the following stipulations: 4 P. ffU y' .. .................. r y G ness: CE -7953 r :� j ON-SITE TER AND M, ;WASTEWATER . Attachments: vi� .••.� HAA Checklist t� Maintenance Agreements Ii�0�Vj ' " �r• Septic System Advisory Supplemental Engineers Report Well Flow Advisory Other By: �i�— '_�' U/ Original Certificate Date: 3 — 3 0 " 05— (Rw. 17AI) Municipality of Anchorage e �O bbl • Development Services Department ` Building Safety Division ,.. On -Site Water 6 Wastewater Program 4700 South Bragaw, St. P.O. Box 196850 Anchorage, AK 99519-W50 www.d.anchorage.akus (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: KINCAID HEIGHTS S/D: LOT 3. Parcel ID: 011-122-03 A. WELL DATA Well type Date completed Date of test Static water level Well production PUBLIC WATER It A, B, or C provide PWSID# _ Sanitary seal Cased to ft. FROM WELL LOG ft. — 9 -p.m - WATER SAMPLE RESULTS: Coliform colonies/100 ml. Nitrate mgA. Date of sample: B. SEPTICfHOLDING TANK DATA Tank Type/Material STEEL Tank size 1250 gat -'Number of Compartments 2 ` Well Log property protected (YM) Casing height (above ground) in. AT INSPECTION R. g.p.m. Data instailed 11/20-26/2001 Cleanouts (Y/N) YES Foundation cleanout (YM) NS Depression over tank (YM) NO High water alarm (Y/N) N/A Date of pumping 3/9/2005 Pumper MCDONALDS PUMPING C. ABSORPTION FIELD DATA Date Installed 11/20-28/2001 Sob rating .p.d ft%dnn) 0_6 System type TRENCH Length 46.5/46 R. Width 2.5 R. Gravel below pipe 6.30/6.13 ft, Total depth •11.75 R. EH. absorption area 1280 R' Monitoring tube YES Depression over field NO Date of adequacy test 3/9/2005 18.5/Results (Pass/Fail) PASS 884 For 4ro5o/ms Fluid depth In absorption field before test 29.5 in, Water added I I35gaL New depth M -6 -in. 189/ 27.5/ Elapsed Time: 108 min. Final fluid depth 44.5 in. Absorption rate >- 600+ g.p.d. Any rejuvenation treatmant (past 12 mo.) (YM 6 type) NONE KNOWN If yes, give date - D. LIFT STATION Date installed "Pump on" level at in. E. SEPARATION DISTANCES Size In gallons High water alarm level at in. Cycles tested Meets alarm 6 circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankfiift station on lot Absorption field on lot Public sewer main line PUBLIC WATER On adjacent On Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water service line 10'+ Water main 101+ Water service line 101+ Surface water 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property fine 100+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parkirtglvehicle storage 25'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and 4 review of Municipal records that the above systems are in ' • •..• • • • • • • • • • • conformance with MOA HAA guidelines in effect on this date. Engineers Printed Name JEFFREY A. GARNESS ; Gamess Date 31 r �o� •� 3•I ti42, �� —a HAA Fee $ q- Date of Payment 3" Receipt Number (Rrv. toot► Waiver Fee E Date of Payment Receipt Number r GoD7 S O O N A 93-104 KINCAID HEIGHTS SUBDIVISION LOT 3 KINCAID PARK 46,652 S.F. K N 89.55'00"E 151.00' BUILDING DETAIL SCALE: V-20' FlNAL STRUCTURE AS -BUILT GASTALDI LAND SURVEYING JEFF A. GASTALDI, R.L.S. 4728 WEST NTH AVENUE ANCHORAGE, ALASKA 99502 PHONE 248-5454 GRID DATE 2222 5/11/2002 F.B. I JOB NO. 02-05 KHS3 I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE: NO CORNERS SET THIS DATE. 111=40' T. do E. ESMT. SNOW STORAGE ESMT. OF A i p�E,........44s k •'• 49Iti •t9rt a Je ery A. Gastaldl o` r o. 1 r 'i so LS -6091 °AV • app°yessionat � .ao �to1AIla* 10' T. do E. ESMT. T— _ _ I _ _ _ _ _ _ _ _ _ _ _ _ _ _ I I • e I I � � SEPTIC SYSTEM �I I • Li(3 I 'a I IF I O I EXISTING BUILDING I I I I I I (SEE DETAIL) BUILDING DETAIL SCALE: V-20' FlNAL STRUCTURE AS -BUILT GASTALDI LAND SURVEYING JEFF A. GASTALDI, R.L.S. 4728 WEST NTH AVENUE ANCHORAGE, ALASKA 99502 PHONE 248-5454 GRID DATE 2222 5/11/2002 F.B. I JOB NO. 02-05 KHS3 I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE: NO CORNERS SET THIS DATE. 111=40' T. do E. ESMT. SNOW STORAGE ESMT. OF A i p�E,........44s k •'• 49Iti •t9rt a Je ery A. Gastaldl o` r o. 1 r 'i so LS -6091 °AV • app°yessionat � .ao �to1AIla* Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL &-Za-Oa FOR A SINGLE FAMILY DWELLING Parcel I.D. 011-122-03 HAA# UQ 0 2' O a g 9 1. GENERAL INFORMATION Expiration Date: 6 - 2 8 ' 0 3 Complete legal description KINCAID HEIGHTS SUBOMSION; LOT 3. Location (site address or directions) LAUDEN CIRCLE • ANCHORAGE. AK 99502 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address COLONY BUILDERS c/o BILL Day phone 345-0371 9420 VANGUARD DRIVE " ANCHORAGE. AK 99507 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 Day phone Day phone 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ■ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water 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 $ !�fl to closing for the engineering services 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 riles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone Address 6901 DEBARR ROAD, SURE 28 • ANCHORAGE, AK 99504 Engineers Printed Name JEFFREY A. GARNESS, P.E. Engineers 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 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwaterlevels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AWWC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any otherperson or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE 1/ Approved for L' bedrooms. Disapproved. 337-6179 Date �Z Conditional approval for bedrooms, with the filowing stipulations: 0Fgly�y� ��`�O .• Z��`j•• • WATER��S1TF AND _ �.�RCTnnteTFR Attachments: PROGRAM HAA Checklist Manitenance Agreements r'�.�� ' • • . .. •, Septic System Advisory Supplemental Engineers Reort Well Flow Advisory Other By j j f �C✓L� Original Certificate Date: (0' g - ��— JR". iwi) Municipality of Anchorage • Development Services Department Building Safety Division a , Onsite Water 6 Wastewater Program 47W South Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: KINCAID HEIGHTS S/D: LOT 3. �t+�_ Parcel ID: 011-122-03 A. WELL DATA PUBLIC WATER Well type If A, B, or C provide PWSID# _ Date completed Sanitary seat (Y�! Cased to ft. FROM WELL LOG Data of test Static water level ft. Well production g.p.m. WATER SAMPLE RESULTS: Cotlfomn colonies/100 ml. B. SEPTIC(HOLDING TANK DATA Nitrate mg./L. Date of sample: ►Snit property protected (Y/N) Casing height (above ground) in. AT INSPECTION Collected by: R. g.p.m. Tank Type/Material STEEL Date installed 11/20-26/2001 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation deanout (YM) YES Depression over tank (Y/N) NO High water alar (Y/N) N/A Date of pumping NEW Pumper C. ABSORPTION FIELD DATA Date installed 11/20-26/2001 Soil rating 0.p.d ftlWrm) 0_6 System type TRENCH Length 46.5/46 ft. Width 2.5 ft. Gravel below Pipe 6.30/6.13 ft, Total depth •11.76 ft. Eff. absorption area 1280 fe Monitoring tube YES . Depression over field NO Date of adequacy test NEW Results (Pass(Fall) — For 4 bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth = In. Absorption rate >_ — g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) — If yes, give date D. LIFT STATION Date installed "Pump on" level at _in. E. SEPARATION DISTANCES Size in gallons High water alar level at in. Cycles tested Meets alar & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main line PUBLIC WATER On adjacent On Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 200'+ 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, parkinglvehide storage 25'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and t> review of Municipal records that the above systems are in "" "'.. "' conformance with MOA HAA guidelines in effect on this date. .: a ..... ._ .. Engineer's Printed Na a JEFFREY A GARNESS —7953 Date 6 OZ re�prof, 1111 d� HAA Fee $ * U u Waiver Fee $ Date of Payment 6.0.07- Date of Payment Receipt Number _ 2 6 1 Receipt Number (Rev. 12/01) MAY -13-2002 1738 3456934 I SUBDIVISION P.01 1 "=40' 93-104 KINCAID HEIGHTS LOT 3 KINQ UPARK 48,852 S.F. Ib N 89.55 DWE 151.00' II�-- i j ' SEPTC SYSTEM N i I I I N , I o'# I I � I N I . EXtsnNG I INS O G StA I ' I j I I I SUBDIVISION P.01 1 "=40'