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HomeMy WebLinkAboutKINCAID ACRES LT 4FKincaid Acres Lot 4F #011-121-92 Municipality of Anchorage e Development Services Department e Building Safety Division Onsite Water & Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 3 of Onsite Wastewater Disposal System and/or Well Inspection Report Permit Number: OSP111278 PID Number: 011-121-92 Nome: DEBORAH BOOTS & KRISTEN DESPARS Wastewater System: ❑ New 0 Upgrade Y p9 Address: 7941 INGRAM STREET *ANCHORAGE, AK 99502 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 223-7720 3 ODeep Trench ❑Shallow Trench ■Bed ❑Mound 11 at LEGAL DESCRIPTION Soil Rating: Total Depth from original r e: GPD/Sq. FL FL Block: Lot: Subdivision: – 4F KINCAID ACRES Depth to pipe bottom from original grade: Grovel depth eath pipe: Fill added above original grade: \G' Ft. Ft. Township: — Range: Section: length: — �(\� Grovel width: �\� `/['/ Ft. WELL: El New [I Upgrade Number of lines: Distance between lines: Ft. ft. Pipe material: Classification (Private, A,B,C): Total Da Cased TO:(6WFh) Ig Total absorption dFe V FL Ft. SQ. R. rills,. � V \\V Date Drilled: Static Water Level:Installer WILCO Date installed: 10/11/11 �l�\S Ft. Weld:Pump Set At: Casing Height Above Ground: GPM Ft. FL TANK SEPARATION DISTANCES 0 Septic ❑ Holding Cl S.T.E.P. ❑ Other* To Septic Tank Absorption Field Lift Station Holding Tank public/Private Sewer Lines Manufacturer: GREEK Capacity in gallons: 1000 ram Well 100'+ – – 25'+ Material: Number of eomixi tments: STEEL 2 —CD— Surface Water 100'+ 1z - - - LIFT STATION F-- — _ _ Size in gallons: Manufacturer: Lot Line 5'+ (n X Foundation 5'+ LV — — — "Pump on" level at: "Pump off" at: High water alarm at: Curtain Drain NONE KNOWN Pump Make el: Electrical Inspections perfamned by: Remarks: OLD TANK WAS DECOMMISSIONED PER UPC. BENCH MARK Location and Description: TOP OF FLASHING ON FOUNDATIONON BACK OF HOUSE. Assumed Elevation: 100.00 Ft. ,.I GEG, Ltd. Inspections performed by: Dates: 1st 10/11/11 ENGINEER'S SEAL OO nd -ooOF 3rrd - oP�. ..... p�o4 Development Services Department Approval 0 4 Conditional approval: Date: .... ' f A. carnes .•' 79 e�0 e Reviewed and a roved b : pP Y Date: L °d 440 professlo�o (Revvie �40000�� PERMIT NUMBER: AS—BUILT DRAWING OSP111278 PARCEL ID NUMBER: 011-121-92 A B IST1 34.28 39.62 100' WELL RADIUS 1 ST2 40.21 45.16 1 DBILl 42.66 47.72 I D131_2 43.79 48.85 100' WELL RADIUS I FCO 6.65 15.47 C01 32.74 37.84 I EXISTING 3 BEDROOM HOUSE / SHED / FCO A GARAGE NEW 1000 GALLON SEPTIC TANK C01 ST1 ° ST2 ° DBL1&2 —1 .J 10' UTILITY EASEMENT EXISTING DRAINFIELD N SCALE: EVANSEN Court _oOQOO OO 4 GARNESS ENGINEERING GROUP, Ltd. p * A. <—�,�,�---- ---- CONSULTANTS & GENERAL CONTRACTORS :%.•.�.^n�:. �......... .. ......... ...... 3701 E MOOR ROAD. SURE 101 . A HORAGE, AR 99507 . PHONE (907)33)-61)9 • FM (907)338 WHi M£BSRE •.9a0w mgiI a D PREPARED FOR: PHONE NUMBER: PAGE NUMBER: .. •. . ........ .........� EBORAH BOOTS & KRISTEN DESPAIRS 223-7720 2 OF 3 p A. G ess; Q LEGAL DESCRIPTION: DRAWN BY: Q4"y E-79 3 .•'' cmOp KINCAID ACRES LOT 4F PNB 4r, TYPE OF WORK: DATE. TYPE rofess AS—BUILT DRAWING 10/13/11 PERMIT NUMBER: AS—BUILT DRAWING PARCEL ID NUMBER: OSP111278 011-121-92 TOP OF TANK AT INLET = 91.38 INVERT OF BUNG AT INLET = 90.92 INSULATION [FINAL GRADE = 96.57-96.82 ST1 ST2 TOP OF TANK //AT OUTLET = 91.34 NEW 1000 GALLON SEPTIC TANK INVERT. OF BUNG AT OUTLET = 90.56 GARNESSENGINEERING GROUP, Lid. q.j CONSULTANTS& GENERAL CONTRACTd7ft3:-.:,cam-----�-_.�—�-..s.,_-�«..,. .3101 E. 1000R ROM. SURE 101 WMWE. M 99507 - PHONE (90))337-8179 • FM (901)338-3246 � 9h]3511E: xxr;gam 'irn. n9��PREPARED FOR: PHONE NUMBER: PAGE NUMBER:EBORAH BOOTS & KRISTEN DESPARS 223-7720 3 OF 3 D. LEGAL DESCRIPTION: KINCAID ACRES LOT 4F TYPE OF WORK: PROFILE AS—BUILT DRAWING 10/13/11 Foy A. farness; CE -79 3� fc1�i slo Ec° _3 of es s(on�Qo On -Site Wastewater Disposal System Permit Permit Number: OSP111278 Tax Code Number: 01112192000 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Work Type: Septic Upgrade Permit Effective Dates: October 06, 2011 to October 05, 2012 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: KINCAIDACRES Site Legal Address: KINCAID ACRES LT 4F G:2222 Owner/Address: BOOTS DEBORAH J 50% & DESPARS KRISTEN A 50% 7941 INGRAM ST ANCHORAGE AK 995023922 Site Mailing Address: 7941 INGRAM ST, Anchorage This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank Lot Size in Sq Ft: 30296 Total Bedrooms: 3 N Privy N private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received B) Issued By: MUNICIPALITY OF ANCHORAGE Community Development DepartmentPhone: 907-343-7904 • Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 011-121-92 Property owner(s) DEBORAH BOOTS Day phone 223-7720 Mailing address 7941 INGRAM STREET *ANCHORAGE, AK 99502 Site address 7941 INGRAM STREET *ANCHORAGE, AK 99502 Legal description (Sub'd, Block & Lot ) KINCAID ACRES LOT 4F Legal description (Township, Section & Range) Lot Size Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: 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. GARNESS ENGINEERING GROUP Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees:O Date of Payment: 10 1H I t 1 Receipt Number: 0--)1i Hli c Permit No. MP mai w Waiver Fees: Date of Payment: Receipt Number: Waiver No. (Rev. 01/11) October 3, 2011 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic Tank Upgrade for Kincaid Acres Lot 4F, To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The septic tank (installed 1985) is badly corroded and is being pumped continuously and needs to be replaced. We are proposing to pump and decommission the old septic tank and replace it with a new 1250 gallon septic tank at the proposed location (see sheet 2 of 2). We are unaware ofy adverse impacts this installation would have on adjacent wells or septic systems. If you have any queions,please contact us at 337-6179. Thank you for your assistance. S PSE., M.S. NOTE:"Attached is a site plan drawing and a design drawing, which are all part of the design package, for this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com �Q I ' L�z L--------- �r - - - - - - - - - - - - - KINCAID ACRES LOT 4E KINCAID ACRES LOT 11 APPX. WELL / LOCATION / 100' WELL RADIUS11� :•«;+: ,s.;*:;:� 'i,'r 1 I 100' WELL RADIUS \ —KWCAO—ACRES WT--4D-- KINCAID T-40.KINCAID ACRES #1 LOT 12 — — — — — — — — — — — — — — — — 7 \ SKYHILLS PHASE 1; SKYHILLS PHASE 2; BLOCK 2, LOT 1 BLOCK 2, LOT 4 (PUBLIC WATER) (PUBLIC WATER) SKYHILLS PHASE 1; BLOCK 1, LOT 13 (PUBLIC WATER) i I i I N / SCALE: 1 " = 100' /) NOTE: THE CONTRACTOR SHALL HAVE THE SOUTH EASEMENT, AND ALL WELL RADII FLAGGED BY A REGISTERED LAND 100' WELL RADIUS SURVEYOR PRIOR TO CONSTRUCTION. 100' WELL RADIUS I EXISTING 3 BEDROOM HOUSE 1 / INSTALL FCO / e / ° • ; �. ,' DECOMMISSION / \ OLD SEPTIC / TANK PER GARAGE UPC. ° PROPOSED 1250 GALLON SEPTIC TANK 0 INSTALL DBL C/O'S 10' UTILITY EASEMENT EXISTING DRAINFIELD CVANS❑N Court SHED OF. A GARNESS ENGINEERING GROUP, Ltd p°* : 9 �* CONSULTANTS & GENERAL CONTRACTORS .... .... ...... 3701 E. TUDOR ROAD, SURE 101 • ANCHORAGE, AK 99507 PHONE (907)337-6179 * FAX (907)338-3246 " WEBSITE: www.games nginee6ng.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DEBORAH BOOTS 223-77202 OF 2 OO - •.Jeff' A. ss: LEGAL DESCRIPTION: DRAWN BY: OO s E- 95 ,c�G KINCAID ACRES LOT 4F PNB oo�e dQ/b '�:��o TYPE OF WORK: DATE: �4OdProfess'100o SEPTIC TANK UPGRADE DESIGN 10/3/11 (Rev. 01/05) - ` �= MUNICIPALITY.OF ANCHORAGE ` OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 0*DEPARTMENT 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAMEPHONE ElNEW ��jj j"�ctm Frai7fg — I ;2s6 dyj If UPGRADE MAILINGADDRESS t��tl l� (( /� P-o ' &5 x, /'1ri c_4 fi;-:= -:= /flus- Ac' cj'9a ✓d Ra LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS Well Absorption area Dwelling 3'? PERMIT NO. G i `� Uy DISTANCE TO: It p d r L15- ;.J F ZManufacturer ^^ / Material No. of compartments LU F )n Liq. capacity in gallons Inside length Width Liquid dept,- iUoo IF HOMEMADE: z DISTANCE TO: Well Dwelling - PERMIT NO. C7 • O Z C Manufacturer Material Liquid capacity in gallons 0 W = DISTANCE TO: Well Foundation - Nearest lot line PERMIT NO. w z No. of lines Length of each line Total length of lipes Trench width Distance between lines Z w F—cc Y6 6'0 inches F Top of tile to finish grade Material beneath tile Total effective absorption area p Fj, 6- -/0 /0 yQ inchesLU G�10 fJ Length Width _. Depth - PERMIT NO. Q I— Type of crib Crib diameter - Crib depth Total effective absorption area w ti Well Building foundation Nearest lot line DISTANCE TO: .----'- 1` 1 — Class Depth �— Driller Distance to lot line PERMIT. NO. w � Building foundation Sewer line Septic tank ._- Absorption area(s) DISTANCE TO: I.' OTHER ` ICK ` PIPE MATERIALS H D u E PVC C SOIL TEST RATING I.7d1:1%h SM Ji INSTALLER mCl_. ^ EX ci{t— jil �1 REMARKS // C.I.Le '�Aeru'Ad S'/O zf rG the !'Wes � 5• / 'WIilt 'f�'2 •ICh C:"L 1J" 1 Sha L.! n7 .�Tl'ca tta� [iw >%-.5 s tx-6IC: �'v 0%E` U/Y4:a4i !T'2•IG �I �/'ct rl.. 'i-�JIn fci�l� �Lt`--•"'R� the West✓� G.x a .5.,;i n ;:/{ n'1'_( ;yas E'6ndurlcct . orxd Sol-/ . .. t u 1.n /tP z'{d Gil` n..2nf/j F D., - PIOJ '1 .8' v2 LU �: APPROVED DATE. LEGAL 72-013 (Rev. 3/78) � ^^ Twl lJ SO 1: 1:1 1: TO, opts.. 1: -V w 171 J= not in! 1:11-1 M too 12110 !H� � v DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 1:1 T41 --- TFA 1: 7- TEE TS 112 %AQ M M WiFE7101-1 11 -1 ' PERMIT NO: 850 14 1 DATE I�SUED: 04/30/85 APPLICANT: PAM FRANGER P.O. BOX ADDRESS: ANCHORAGE, AK 99502 CONTACT PHONE: 266- 1454 LEGAL DESCRIP: SUBDIVISION LOT: 4F BLOCK: NA SECTION: 9 TOWNSHIP: 121 -1 RANGE: 3W LOT SIZE: 30200 i:::, F. OR ACRES) MAX BEDROOMS: 3 Listed below the available to in designing septic are options you your system. Choose tfe option that ��� Most Ms your . site. ..... '����� ..... ���~����� WTTZ KH1 1001 s.~11 woo][w DEPTH TO PIPE BOTTOM (FT.) 6.5 6.5 6,5 DEPTH 7,5 0.5 1.5 GRAVEL TOTAL DEPTH (FT,) 14.0 7.O 8.0 WIDTH (FT") 2"5 20.0 5.0 ' GRAVEL 83.0 ** GRAVEL40,0 VOLUME MLI 29.7 30.8 GRAVEL "YDS. TANK SIZE (GALS> 1,000,O ** q000^0 ** 1000.0 ** SOIL RATING (SQ.FT"/BM 177 177 177 > 75 FT, REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH) ** GRAVEL LENGTH ** TANK MUST HAVE ATLEAST TWO COMPARTMENTS ` IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES! THEN (i) AN ELECTRICAL Far RiviIT AND INSPECTION MUST BE OBTAINED; (2> AS-BUILT� WILL NOT BE APPROVEn WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) I'HE ELECTRICATRICIAN" SIGNED DATE: �°-,- _____'__'__.... ..... ..... ..... ..... APPLICANT: �� ^ ISSUED BY DATE: -..... ...... �~-�----��~—�-�~- -��---��~^------ �Qj� " SOI LS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 _ 264.4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: JG An XCrvlecw ^- M•O.A DATE PERFORMED: LEGAL DESCRIPTION: Af-') f 4 F �e, 1z U IEFiT� SLOPE SITE PLAN FIE ) pt. p arirc g„'1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 ,I 5,M s, iF 1 r;14jSwnd (sou, 1/+ S Pcl'"-' ra„d I't t - t' i'n S'f 2 I`S MUNICIPALITY OF 1 DEPT. OF HE/ ENVIRONMENTAL G JUL lol k E C �'., L i Vlo WAS GROUND WATERS L ENCOUNTERED? 0 P IF YES, AT WHAT E DEPTH? CHOROM Date Gross Time Net Time Depth to Water Net Drop ■'■■■■■■■■■ ■I■■■■■■■■■, ■I ■``'■■1"00'1■■■ NERC N■■■' o L i Vlo WAS GROUND WATERS L ENCOUNTERED? 0 P IF YES, AT WHAT E DEPTH? CHOROM Date Gross Time Net Time Depth to Water Net Drop OT�CTION I o 20 PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS ' ow 1 iav,n 01"2 +15 rota Vl7Ecn(!y (W /S O C' /4-- '7-as4 2Lo 7% A'I.v tit) (",c%r- --heotc-4�. J°+'n CEg .*�e DVelC1u9 l'.fcisic¢l1 u PERFORMED BY: d-rcy in ,9 S7TFCERTIFIEDBY: DATE:4b� 72-008 (6/79) w ,mai %_ � SOILS LOG MUNICIPALITY OF ANCHORAGE +.e DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: �Q0 I 4 ;P.:z — //i"L/U4eV" /� DATE PERFORMED: 7—.30— soS l\ LEGAL DESCRIPTION: LD r Q c ` �2Gofy�.) I AJCQ J /9CN -5 FD -E -P -T -H-1 pp// SLOPE SITE PLAN (FEET) og&I13Ne I I I 1 2 3 Srn Si /fy/ sotvice 4 5 6 SC �'IQ�, sarvd 7 8 9 s� 10 11 S;/Y( solo,, 12 Sm 13 14 15jSm _ � 9OF A4 4 ��e o ®' oaoee.aae o eeooeee.seeaeo 16 18 loaa.a ea..�%i—h- F� Robert D. Bush . JF CE - 5333 k WAS GROUND WATER NO L ENCOUNTERED? O P IF YES, AT WHAT E Z DEPTH? H. Reading Date Gross Time Net Time Depth to Water Net Drop 1/36-- 2 5� �Z rn, h! 20 PERCOLATION RATE OS2.- (oVYI/&/ ' (minutes/inch) �jj TEST RUN BETWEEN / FT AND � FT COMMENTS 16-0A118DR. USe- 1iS',rRDR /moo Q//OW ibY Pass 6/e Flay LO,us r� PERFORMED BY: 72-008 (6/79) CERTIFIED BY: BUSH ENGINEERING - ATE: 30 a7 NCH RAGE, ALASKA 99509 (907) 745-2273 w GRb,.-.'ER ANCHORAGE AREA BOR,_ jGH Department of Environmental Quality Vu 3330 C Street Anchorage, Alaska 99503 rtINSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAMEMAILING ADDRESS �b y—I� /I jPHONE LOCATION LEGAL DESCRIPTION L S/C..t SEPTIC TANK: DISTANCE NUMBER OF FROM WELLP nubLokI-_ MANUFACTURER MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITYP�'� GALLONS. TILE DRAIN FIELD:: — Gj/ TOTAL LENGTH DISTANCE FROM WELL < FOUNDATION NEAREST LOT LINE OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH— IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE IN. ABOVE TILE IN. WELL: TYPE w114a i rcu(- i 1UN DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION—,LOT LINE , SEWER LINE , TANK , SYSTEM CESSPOOL , OTHER SOURCES SE)rL-�S T APPROVED DISAPPROVED nn REMARKS DISTANCES: INSTALLED BY: C - SEWER LINE DEPTH: PIPE MATERIAL -(:!J LOT SLOPE: REMARKS: Form EQ -032 DIAGRAM OF SYSTEM ®- DATE �4' APPROVED._ G.A.A.B. DEPHRTMENT OF �HLTH HND ENVIRONMENTHL PF - C � / C: 1-1 8K� 995�� PERMIT NO ( 76584 ) 76 yy�l/o01 HPPLICHNT SHHRON L JOHNSON BX 4 1227 99509 '�44 1]42 ^\ �� / LOCHTION INGRHM RD ~ ,' LEGHL L4C KINCHID HCRES LOT SIZE 69750 SQUHRE FEET TYPE OF SOIL HBSORBTION SYSTEM IS: TRENCH MHXI�UM NUMBER OF SOIL RATING (SQ FT/BR)� 150 THE REQUIRED SIZE OF THE SOIL HBSORPTION SYSTEM IS� �EE: ���� :,1_1 If ~ PET: Ino Cis Ar, 9--H "D G, n. L- E:.*- FEE 10" K 1-1� THE LENGTH DIMENSION IS THE LENGTH (lN FEET) OF THE TRENCH OR DRHINFIELD THE DEPTH OF F1 TRENCH OI R PT I5 THE DISTNE HCE BE: THE SURFHCE OFTHE GROUND HND THE BOTTOM OF THE EXCHYHTION (IN FEET) THERE IS NO SET WIDTH FOR TRENCHES ^_ THE GRHVEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE OUTFHLL PIPE HND THE BOTTOM OF THE EXCHVHTION (IN FEET). L4 �M FEE QR 1.0 1: No: FEE: C. ON IET: V::::,, -F- 1: 0- 101104 K E:0-- 1: IEEE,: =-= -1. too Q NET TA ll... L. 0-0 104 "G; BHCKFILLING OF HNY SYSTEM WITHOUT FINAL INSPECTION AND HPPROVHL BY THIS DEPHRTMENT WILL BE SUBJECT TO PROSECUTIO�� MINIMUM DISTHNCE BETWEEN H WELL HND HNY ON-SITE SEWHGE DISPOSHL SYSTEM IS 100 FEET FOR H PRIYHTE WELL OR 200 FEET FOR H PUBLIC WELL SPECIFICHTIONS HND CONSTRUCTION DIHGRHMS HRE AVHILHBLE TO INSURE PROPER INST8LLHTION. 1: P, 0:3 F.". �P-J IIEH: F-0 1=7 Fit C) !wl I ART OR; U� ° I CERTIFY THAI 1: I HM FHMILIHR WITH THE REQUIREMENTS FOR OITE SEWERS HND WELLS HS SET FORTH BY THE MUNICIPALITY OF HNCHORHGE. 2� I WILL INSTHLL THE SYSTEM IN HCCORDHNCE WITH THE CODES. ` ]� I UNDERSTHND THHT THE ON�SITE SEWER SYSTEM MHY REQUIRE ENLHRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THHN ] BEDROOMS SIGNED��_��.~_ Al'PLICHNT SHHRON L N ISSUED B ' - I \ Municipality of Anchorage • -� Development Services Department Building Safety Division _ - On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. COSA# 09-012Z Expiration Date: 0/;?- $ O 1. GENERAL INFORMATION Complete legal description Lot 4F; Kincaid Acres Subdivision Location (site address) 7941 Ingram SL Anchorage,AK99502 Current Property owner(s) sherry Timmerman Day phone 317.2775 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone Day phone 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 On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the 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 S a s Engineering Address 15861 S. Birchwood Loop Rd. Chuglak, AK 99567 Engineer's Printed Name Robed AShafer 5. DSD SIGNATURE Approved for _ bedrooms. Disapproved. Phone 694-2979 0'/ er a` 1:1 14 y. an.«•rer•wa5lS•% f �A0 ffl A. SaGr4 cot'-".� m Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: L, Original Certificate Date: (Rev 1105) Municipality of Anchorage ' Development Services Department _ Building Safety Division On -Site Water & Wastewater Program ' • `• 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE //ffOFON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description:{�'T 'Tfj Il►1f'KfilA A:%zc-5 Parcel ID: II 121 a2 A. WELL DATA Well type P-iVf}7E-- If A, B, or C provide PWSID # = Well Log ms—A-20— Date completedA7 Sanitary seal &N).FS Wires properly protectedON) Y� S I I it Total depth 22Lft. Cased to 23l ft. Casing height (above ground) /,? 'f in. FROM WELL LOG AT INSf E TION Date of test y /5 09 r Static water level Well production g.p.m. �•� g.p.m. WATER SAMPLE RESULTS: Coliform t2 colonies/100 mL Nitrate %57 mg1L Other bacteria 0 ccolonies/100 mL Arsenic:. tT ug/L date of sample: A+- / Collected by: J J �J�IK7�Ee1 B. SEPTICIHOLDING TANK DATA Tank Type/Material Jt7nc - C. Date Installed 5/,?/AG Tank size / gal. Number of Compartments o7 CleanoutAC! !) Yom'' 11� Foundation cleanout&l) Depression over tannkt High water alarm ( / ✓o Date of pumping --� Pumper/`i /1ory1E Q��lt 1CQ� C. ABSORPTION FIELD DATA Date installed r a S Soil rating (g.p.d.1ft2 o(ft'/bd System type �bF� ' Length ft. Width 5 ft. Gravel below pipe %Sft. N1-17-6' Total depth _ ft. Eft. a sorption area ft2 Monitoring , _tube '1S Depression over field 111-6 Date of adequacy test 1 S c (Pas Result ail) Asa For 3 bedrooms Fluid depth in absorption field before test in. Water added gal. New depth8l "in. u Elapsed Time: IZO min. Final fluid depth in. Absorption rate >= 450-f g.p.d. — , 1 Any rejuvenation treatment (past 12 mo.) (YO type) If yes, give date D. LIFT STATION POIR Date installed Size in gallons _ 'Pump on' level at_ in. 'Pump off' level Datum Cycles tested _ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot /OD'!,1 Absorption field on lot /LYS r4 Public sewer main JQ Sewer /septic service line 96 t{ Animal containment areas A)109 water alarm level at Meets alar R circuit requirements? I On adjacent lots ticO.4 r On adjacent lots /CO / Public sewer manhole/cleanout r01A Holding tank d Manure/animal excrete storage areas i SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: r Building foundation $'I" Property line S f Absorption field 5 + Water main ,J�R Water service line l0 Surface water lee y r Wells on adjacent lots /664- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: I IF Property line /0 + Building foundation /04 Water main rj Ln II Water Service line /0 + Surface water lee "A Driveway. parkingfvehicle storage /0 + I Curtain drain 11001Li KAXWV Wells on adjacent lots F. COMMENTS G. FLOW I certify that I have determii review of Municipal records conformance with MOA COS) field inspections and ove systdilrr s are A? Engineer's Printed Name u ,/ i / / v i r 0 Date �_ /2 _ 0 % COSA Fee $ Y o / Date of Payment -Z/� q Receipt Number i Z�ZZ (Rev. tiros) Waiver Fee $ Date of Payment Receipt Number YL.Ory x i Tt 1!„l Rif:te t avert A. S:)&U 1,& 114`7-111 in. jLla9 1114Y-c'9-2fd09 02:218 FROM: • AAROW PUMP & WER SERVICEt LLC P.O. Box 110496 Anchomge, AK 99511 Office: (907) 348.9355 • Fax (907) 933.8976 Eagle Riven (907) 822.9335 f CUSTOMER f 1114 1 Ca/fOA 70:6941211 1 JOB SITE P.1 N° 08350 Thank You SIGNATURE 0 Ne`ebf' Ad wM9dge t1t" Satisfeaory Completion of Me Above Desalted Work and agree Mal N above work k not Paid kx In 20 deYe I agree to allow Aarow Pump 8 Well Service. LLC. Me 00t to remove unpaid for equdptnertt and O*Ma for labor already pedomed d labor to remove unpaid W aqulp e ) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH POLLOWINO PURCHASE SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. MINE , ■ - _� _FINE ■ FINE FINE■ - __E =®® TOTAL__tell� ENGINES PAY THIS AMOUNT Thank You SIGNATURE 0 Ne`ebf' Ad wM9dge t1t" Satisfeaory Completion of Me Above Desalted Work and agree Mal N above work k not Paid kx In 20 deYe I agree to allow Aarow Pump 8 Well Service. LLC. Me 00t to remove unpaid for equdptnertt and O*Ma for labor already pedomed d labor to remove unpaid W aqulp e ) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH POLLOWINO PURCHASE SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. OH ° Sou 66..`E E"�3 O w �. ��$ -� V)Yn' Yah $E S00004'23"E 134.60' six= I S $ ljsf I co I o�99 its C LfE`9 N X6.2 I m la I O � �b zea I o LO I N ® ® N I N g N 6x W J I 3 �gQ� E p ®I O SSS I Y 'O O m �I co d I C m z �? _ ®0 0 N c O O cr) in t'ZZI C jb 10 .4S 20 H I > W W I W O. 61 o v J Li N n o J y,. ryM} `. i O M O tV. 0 ¢ � e i P, I a° v Cd U m 4^i I C n :✓ �•• 11 N N ----------- -- T'�^^'=a -- N ---J a Y G N aU•y: p� m N N00'06'18"W 134.60' .Of m N %m O O Z N M M zing) }aa.l}S woiBul I y — — — �0L2 W N z Z m J U a x NO �P« •rw°°Up } o � 8 ,.. Q O o� LO u W 0�' H €Y o �n . o �� ¢ z�<`V N <zo-5 v J� c % Municipality of Anchorage ; • Development Services Department Building Safety Division „ ,,. - On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 090122 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 4F of Kincaid Acres subdivision. This inspection revealed a nitrate concentration of 7.57 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. r MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date / © A Z.0 (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) tai vrt (1�) Applicants Name Peau f/�o r� T v� �n e v Telephone - Home Z43 -B7 Business 3 Applicants - Address f D 1 ez / %- S 14 tick , 4_'t 9,9's (c) Applicant is (check one) Lending Institution Owner/builder ; Buyer ; Other (explain); Se //P I, - (d) Lending Institution Address (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: 2. Type of Residence Single -Family Multi -Family Number of Bedrooms 3. Water Supply - Individual Well Community Other (describe) Public Note: If community well system, must have written confirmation from the, State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal Onsite n^ E Public 1=1 Community F:] Holding Tank 1 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 21 e�_, 0 5. Engineering Firm Providing Inspections, Tests, File Search, Data and Information 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 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 Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm u Telephone. 74 -ZZ 93 Address PFocL. /fK 9ISF%4/"0y ��,......, 3 �'�` Date /D�//�P.� --•���.'fY.� %���(� •� (ENGINEER SEAL)f " :.Y...... �...l ..... Fo'xn D. Bush I // S . CE - 5333 6. DHEP Approval n 0 Vd�,Y � bedrooms Approved for dt—'" luu Q — te `f By �.L�k ��8al r / ✓ Approved, �/ Disapproved ConditioA Terms of Conditional Approval CAUTION THE M1ZICIPALITY OF ANCHORAGE DF,PARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UFON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A•COURTESY TO PURCHASERS OF FOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 MUNICIPALITY OF Ai\1CHORAG,: DEPT. OF HEALTH ENVIRONMENTAL PRCTECTIOi`i MUNICIPALITY OF ANCHORAGE (MOA) - HEALTH AUTHORITY APPROVAL (HAA) " )'g85 -fwd= TM� CHECKLIST - FEBRUARY 1984 I-REQN1/ 1 / CQ n Cers ml�h A. WELL DATA Well Classification '114. If A, B, or C. D.E.C. Approved(Y/N) /✓ Well Log Present (Y/N) Date Completed 1916,12 Yield GP/n f Total Depth 231 Cased to Z 3 / Depth of Grouting tt/6iyg Static Water Level A5 2- Pump Set At ZZO Ft Casing Height .Above Ground /,6 0. Sanitary Seal on Casing (Y/N) 4 Electrical Wiring in Conduit (Y/N) yeS Depression Around Abllhead (Y/N) N Separation Distances from Well: To Septic/Holding Tank on Lot //() ; On Adjoining Lots 1 S D fi To Nearest Edge of Absorption Field on Lot 12 $ On Adjoining Lots 15-0 f To Nearest Public Sewer Line AJ To Nearest Public Sewer Cleancut/Manhole NZd_ /To Nearest Sewer Service Line on Lot /V Water Sample Collected By R. 13 u 5 h ; Date /04 /g�- '01 Water Sample Test Results O/C Comments B.SE/ PTIDATA Date Installed 6-12185- Size / U o c) G,4 z- No. of Compartments % tAj p Standpipes (Y/N) 1/ Air -tight Caps (YM) Foundation Cleanout (YM) Depression over Tank (YM) A(/ Date Last Pumped /Vew i i� I/ c $5 Pumping/Maintenance Contract on File (Y/N) i for Holding Tank High -Water Alarm (Y/N)I1/IA Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply tell //O f/ To Building Foundation 39 f_f To Property Line 60 f To Disposal Field // 7C f To Water Main/Service Line tv-ML To Stream, Pond, Lake, or Major Drainage Course IV Comments [Page 1 of 21 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 1 3 O 10,8dv Type of System Design Date Installed _Z12 AA Length of Field Width of Field (0 U V) c, � Depth of Field Gravel Bed Thickness Square Feet of Absorption Area ro 9 U Standpipes Present (Y/N) Depression over Field (Y/N) yl/ Date of Last Adequacy Test New v,� re0,r/85 c Results of Last Adequacy Test /l/ Separation Distance from Absorption Field: To Water -Supply Well / ZS- To Property Line To Building Foundation 67a f- 7L To Existing or Abandoned System on Lot 2 s On Adjoining Lots 1,5-o f To Water Main/Service Line Al To Cutbank (if present) IV To Stream/Pond/Lake/or Major Drainage Course A,1 To Driveway, Parking Area, or Vehicle Storage Area ( / fl Comments D. LIFT STATION ,/'� / Date Installed ��/ Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Level at "Pump Off" Leval at _ High Water Alarm Level at Vent (Y/N) Tested for Pumping Cycles during Adequacy Test. meets MOA Electrical Codes(Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA HAA,�:idalyqn effect on the date of this inspection. ��, AY Signed 71LL++66 Date /u / y/ o AVI, Y ��:- ��^. Til �° •°• ` fQ Company /7US4 Zw�iweer �-g MOA No. 5 33 ... . ••• •® 0A• • u•s• ••• Bu3sh KBl d5 S Robert D. q{a -533 / !,• ,q7 It 4 Prof�sstcfi��� ®oma (Page 2 of 21 ��15-84 5. LEGAL DESCRIPTION ,,// i Lo 1-t Ki DATE RECEIVED INSPECTION APPOINTMENTS (211 f` C.CeS TIME ' TIME TIME DATE DATE DATE ❑ One ❑ Four ❑ Other 4 -11�1-060 INSPECTOR INSPECTOR INSPECgR MUNICIPALITY OF ANCHORAGE DEPT. OF DEPARTMENT OF HEALTH & ENVIRONMENTAL PROWO�%'''" �- ` '�CTION 825 L Street Anchorage, Alaska 99501 - • R [; r:l, y C� i�0� ENVIRONMENTAL SANITATION DIVISION Telephone 264.4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. P/ROPERTYOWNEERR PHONE !✓eo ro? A)01,0 i- - ' 6L (?_L 9'4 MAILING AD13RESS NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. PROPERTY RESIDENT (If diff rent from above) PHONE 2. BUYER (�`J� �a (,l_' "I 1 Ct_:1'Y-1 C .i i C0y"� sP�HO-N-1E Ca�-I I ' v I 1 ..� MAIPING ADDRESS .�.>>E> -I;�R 3. LENDING INSTITUTIO �ec��rzl�� PHONE —ho 3-5 •` --1 MAILING ADDRESS IDI e- , `l u.cl w- - (_ k` c A N Qq 4. REALTOR/AGENT PHONE j/,'/� Rf !l . -- / /' ._.e i- N �� _s l �/ / '/ < 1x.17 l.-% oc) MAILING ADDRESS coin E nA «, T::c� . e 5. LEGAL DESCRIPTION ,,// i Lo 1-t Ki Q_ 11 C CI`1 C f` C.CeS STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY 1 Three ❑ Six 7. WATER SUPPLY i INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM b�J INDIVIDUAL/ON-SITE** 19I% YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-070 (Rev. 6/79) 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ ❑ TWO ❑ THREE ❑ FIVE ❑ OTHER FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED G INSTALLER ❑Septic Tank or ❑ Holding Tank Size: i 00 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sew ne Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS C�APPROVEDFOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must a comp L�YDISAPPROVED y certificate) b 'ns DATE ,_ - s. l� By C 72-010 (Rev. 6/79) vW4 TpGHOiAGE AY£A G u �• A�IPfO IAn�TPY �. y P� GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received July 20, 1976 Time of Inspection 9.30 a.m. Date of Inspection 7-21-76 Les REQUEST FOR APPROVAL OF Wednesday INDIVIDUAL SEWER & WATER FACILITIES FOR V.A. 1. Approval requested by: /rgKa�P /U//� Mailing Address: Phone: 2. Property Owner: Gordon K & Sharon L. Johnson Phone: 344-1342 Mailing Address: Post office Box 4-1227 3. Legal Description: Lot 4C Kincai& Acres 4. Location: 7941 Ingram Street 5. Type of facility to be inspected Single Family No. of bedrooms 3 6. Well Data: Individual A. Type B. Depth 220' C. Construction D. Bacterial Analysis 7. Sewage Disposal System: on-site system A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Absorption area �, Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2,of two pages - Rec -,t for Approval of Individual ar & Water Facilities d Legal Description Lot 4C Kincaid Acres Comments ' , z 4W 2 Approved fft-?6roved Date Ap val..Valid for one year from date signed e,_Oreater Anchorage Area Borough, Department of Environmental Quality � Ir, DIAGRAM OF SYSTEM .; t3oe" Ft P I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION::I 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES e 1. Type of Inspection: CMRO VAL,-' FHA CONV 2. Property Owner: QsoUBe',10 N-0 2_ �o) Ini Son) Mailing Address: Rn. R ox Day Phone: 3. Name of Buyer: Mailing Address: Day Phone: 4. Name of Lending Institution: Mailing Address: Phone: 5. Name of Realtor or Agent: t C-5 Ci nJ s ERt- I ]-)/ Mailing Address: Phone: 6. Legal Description: L o y C_ Rini c air0(-- Location: (-,Location: 9 `ll =nj 7. Type of Facility to be Inspected: 0 t} 56 No. Bdrms. � 8. Water Supply Type of Supply: Public Utility Individual - If Individual, number of dwellings presently served n sJ C i If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation 11A/ K N 6 (J n) 72-003(3/76) Individual (on-site) 911/ 0Rpons Pricry 7 July 30, 1976 4.1 Spokane Martgage 3201 C Street Anchorage-, Alaska 99503 aubjactZ Lot 4C Kincaid horafts SubdivigiOn Deur siva The OXIStLngSeepage pit Erving the subject lob: is The specs for tie Upgrade are at&tad in Wa-Pew � c z"I. 'Zilis dopartmont vouldgrant wppraval if fuads are aacroWed for a new asepage t eery and tauk if OU"BaXy. A OMPlatiOU dii Of AU9USt 24s 1916 LZ rO4VQ8tGd- rn the i tarizo funds sitould be act aside to purap the existing pit on a routine basis Xultil the u�radiwq i OA11p eta* Alsor requirack i "he caving .i� of t1he Oid seepage pit when Upgrading iv Completod. if there are any, kwthfw questions r please contact a h a office at 276-1� extension 266. .::.�y�:::::..- \ Lt LAB 4040 "B" STREET, ANCHORAGE, ALASKA 99503 PHONE: 907-279-2581 July 28, 1976 W.O. #17785 Grid 2222 Mr.- Keith aohnson P.O. Box 4-1x,27 Anchorage, Alaska 99509 Subject: Subsurface Investigation Lot 4C, Kincaid Acres Dear Mr. Johnson: Transmitted herein in accordance with your instructions are the results of the above reference investigation as performed by us on July 27 and 28, 1976. The scope of this project is investigation for suitability of an on-site sewerage system. Included in this transmittal are: Vicinity Map Figure 1 Test Hole Loq Table A .r tai' —...._l .T i:...Via..... .�..-. ✓tiv...i-b i... The exploration was conducted using a Nodwell mounted Mobile Drill Model B-50, drill rig with a continuous flight solid stem auger. The rig is owned and operated by Denali Drilling, INc. Drilling was supervised and the test holes logged by Mr. Terry Barber, geologist with Alaska Testlab. The percolation test was run by Mr. 0. M. Hatch, geologist. The test hole was placed approximately 65' east of the house on the above mentioned lot. The log of this test hole is in- cluded as Table A of this report. In interpreting the log, it would be helpful to utilize the explanatory information contained in sheets 1 to 3 of this report. When drilling was completed a 3/4" slotted PVC pipe was inserted in the hole to aid in determining the free water level. For the percolation test, the test hole was filled with water and left overnight to saturate. On returning the next day, the hole was refilled with water and the drop in the water level carefully monitored over the next 60 minutes. This procedure is not standardized percolation test, however, we understand that the Anchorage Department of Environmental Quality prefers tests performed in this manner to evaluate a site for a proposed on-site system. Using the above test. the observed minimum percolation rate was 2.9 minutes per inch. No water table was observed during drilll"I g, but it should be noted that the free water level normally fluctuates seasonally and with precipitation. We hope this report meets your present needs. If we can be of further service, please feel free to contact us. Very truly yours, ALASKA TESTLAB R. Mar Hansen APPROVED: 1'1G ib iil ii. +d1w.♦+V 1:: Laboratory Manager RMF: amc .� / .[ n Ifr InrVl t JT4 r I. J 5- t ILI Arl, ((M•��� I pr: _ al !• i 1 . / • L 611T., 11._ �,( ►:� if C4nU ibw L - -A Z f6 J, ha.°.. � 34u +] (t �.Tt .. ... ` '�� 1 � sllL_O Lr1 -I-- I •. r Ir 4 t 13 1- •b.'. •Jmx lat S 4 �(, 1.. ` Zrj� iYb .'• I11i0. � l,f 1 ` R f .. 11L1iti1_ vl L ... i g Irl bA + '_�'• )190 v „-Q� ril[ . ]'a4 ' � aYiM Ild_gI Th '(+s 1. A Ev q. _tl IT c _ I n[. vn ra t516 A c' t i ,i 4 rr _ A ,'3'b ' a r •. t46.:r•x .(1 `I r' ,iin IIT .per/ Q[o•rx n[vly MT LAKE1e rtn - r: ' s s_G r ulx �� I yf INLAKE 3 4} I( -rte e o I 1 .. [ • n., `_"tet. Lq u[' rsl F I"" �Jr Irf [ (•raY l 'r Lr I: •Illy= _-i�l.,� F (IrX _ [ 511 f1 SPE.\ R j � •,yl� _ I lelx = I � : J '1 - ,�� nu 1 [,r �4 _ - , ,vvJ rx(u. p ¢ev j »INiERNAIIONAI s w �`� R f=~ J tLirpo: 'ai- INTERNATIONAL �� A1RPoar 3 . _. I AIRPORT ! t51X AIM a 'OJ(I f I R1 a, 1 u•J�r . .I =! r\. a co [.Ir[� . 611x IF (ss - 1 '' x• � • 56rx trf 9j _ 4, 9 .`, i `• 3: 1x All Nun[ - r j • [oil Y I a•a�. 17l i \a`j o rrr :. f rr it LR rrlr. -�- aI ;t`•,= J 2-j err a'l.�'ir'� �'R ,t_ ••In nr e t t" J' g5c toy 1 un In ILL Wen 11 (ljv. t ]I•IY cull [ _ •• lrNpfX v0o[r ' .:n r.Mi. nu [ )uM�- , r]ISRQ-15J rI.v , F •.x �Jl 5 yy t etE 11]ixPO] entt}- -("P'l•a 11110 [vfLIZ 1111 1([I al 1�1 11PInt9 R [ tJ E /11X nt - i S 1191 nY..� t{t[`. + D `•1.> i - _ •It r r' nt ti�11 a -„n. I .l ,� v �L (at f�'` a i X_ •e 1. • II 1 M 'r 1 1 E E.p_ rr?� o•o� l ;� +. i 3 sJ� a c n a el -. YnR n� .y.,-. � j•�r. ✓„'iR �q. � k ..[I� [ un 1) �, iii - .` e rlrm_'n1 &a _ 1J, - E. r • I1b _ __ [ nn n, le,�t ¢h t em nt nr" LL IMoor .0 All i u ; 5 o LIa,1 „' yy 41 41 r. i vim•' :'�..�a JIe s ° cl V f t e Test Hole #1 Table A WO #17785 Depth in Feet From To Soil Description 0.0' 5.0' F-4, Brown slightly sandy, silt, ML, damp, soft. 5.0' 11.0' F-4, Light brown silt, ML, with trace of fine sand, wet,— soft, pit. 11.0' 20.0' F-4, Brown slightly sandy gravelly silt. ML, soft to stiff,pl+. Bottom of Test Hole: 20.0' Frost Line: None observed Free Water Level: None observed Remarks: 1). General information, see Sheet 1 2). Frost & Textural Classification, see Sheet 2 3). Unified Classification, see sheet 3 30 `\ I -= --- LOT E95EMENT It Ss the responsibility of the owner or builder, prior to cons�ructlon, to verify proposed bUEdLug rade relative to fin-Ehed grade end uttlity connections and to determine the exstence ^f ar♦y cnce- ments, covenants, or restrictions which do net appear on the reoorded subdivi. tslon plat. L-®% 4-1 WELL 0 O Y -r 9 7 Mj; ty:. x 5J L, Q E i.A , ��cER7-rricr�TroN _- '7/23 /7(0 LOT SURVEY CERTIFICATION Bi%ck Area l.', - Sq. Ft. Plat File No.�.5.7f—/—Zosliny District R� D•st ,A Al^skn h, A a P Lo7- 4-D �o'UTiG, .-- E.hsE"n'i'T 0 ON •N �/�y i `�� •ref Y vJ � 14 eta y:46 poafej e. eel• n / s No. 2C7i r' Y Bross cap Mcr.umenl•. U Iron Pipe :.'.. .....,.tilt. es Steel Pia a.�.� ''Cr•: O Survey Hub Ea Tack -' tas-:•c" J� ,-.nchcraco vuut nkj I( illi, REV Is101.1S j i)hiE I. i,,Y 1 DIC II f)OH-0SW' 11_D-Vf1hL �"1• L�F Kesidance of:-�`Qi;'OD/V /.: Jo,�r�/V,�ON _ 1\ / 4040 0 STREET__... .. .... _ ...-._- ANCHORAGE. ALASKA iScn/e.��lle=O� �lis0.#SJd_��F.!%t a^?-l� —�Grij -