HomeMy WebLinkAboutT15N R2W SEC 25 LT 8AOnsite File
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Municipality of Anchorage `• ;
Development Services Department `" �•
Building Safety Division
- On -Site Water and Wastewater Program, 4700 S. Bragaw St
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P.O. Box 196650 Anchorage, AK 995146650 Page of
www.cianchorage.ak.us (907) 343.7904
ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT
Permit Number: 5 w Q 3O q{ l PID Number: O SI —DAI -( g
"an":
A �/LgNK
Wastewater System: EfNew ❑Upgrade
Addya. 17oti3 f kc �t �rvd•c WoP .4 f.k_
1)r77 ABSORPTION FIELD
Phorla: Munn"Me<ao :
a o..P hewn {4'sMw. travel o tl.a o Llaxw o om«
LEGAL DESCRIPTION
Boa Pai"`
T"" Depth aCm orpMl prada:
d
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Block: lcl: /J / &AOwYon:
DeOF�b VM 0011an hom on" p-aGe
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N W
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Fi sOCeU tloW o""714/4
FI.
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Well: NNew ❑Upgrade
rxaw wdn. 5
Tor leas: u.°nMF
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TANK
GPM
O Ft.
pt FL
SEPARATION DISTANCES
grSeptic ❑ Holding ❑ S.T.E.P. ❑ Other.
To
From
Septic
Tank
Absorption
Field
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Station
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Tank
iuPrivale
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BENCH MARK
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PO /7 100 FL
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S R S ENGINEERING
Inspections performed C 7 ��-d�
P p y. 17034 Eoglo River Loop Rood, Ncb2aOets: N
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2� _� 03
Developme t Services Department Approval
A 11 ROBERT G COWAN / 't- /
`"s' cc -Baol
Reviewedand approved by: Date: TYT+tft,yf�p7._/or.;�':
PERMIT No. SWO30401
PACE 2 OF 3
Municipalit of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 8A, SECTION 25, T15N, R2W P.I.D. NO. 051-281-09
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ROBERT C. AN
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PERMIT NO. SW030401
PACE 3 OF 3
Municipalit of Anchorage
DEPARTMENT OF HEATH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Bax 196650 • Anchorage, Ataska 99519-6650 • Tele e hon343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LECAL LOT 8A, SECTION 25, T15N, R2W P.I.D. NO. 051-281-
1 ST2 X99.1'
FINAL GRADE
NEW
96.5' 1300 GALLON
POLYETHYLENE
SEPTIC TANK
CO1
MT2 CO211TI CO1 = 98.6'
CO2 = 99.5'
FINAL GRADE
SR
MT2 = 91.7'
(01xr 04" in.
P.01 Od Aln4
C01 = 95.1'
CO2 = 95.1'
NIT1 = 91.2'
NO WATER FOUND
83.2' B.O.H.
2" INSULATION
96.2'
N. T. S.
01/01/1999 00:01 6882259 SUI.IVAN PW3E 02/02
Certi�ie� 33rillitYg 3.og
by
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SULLIVM WATER MULLS
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IS wee bca w st appOmw peM* bcoffi°A? `j"t s U w
Method of f tPIT. EiSrrot* V c8W1D0I
c�oiYae�'�� vran-n,�a�s �S a r�ct�
oma% �/ • rtc+�es. � w o _feet
straa,o aura cora a foes
static water Newt" .. tea
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tTTWnM ft Is the resparlsbMV of fie propetY O%ww to xibn* a ocpy of the wee top to the Vww author LY. Mrilcipaf lY
it AndwrVr. pepallnent Of Hodth & Row" Services andlor OeMbyw l of E wkDnmwttal Conservation. I.tatSu MrOu0c
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ASBUILT SEWAItD S
I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE, ,
FOLLOWING DESCRIBED PROPERTY1
corms ;
Sml zs ris�./'ZG✓ DATEE,
AND THA1"N0 ENCROACHMENTS EXIST EXCEPT AS �
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE EXISTENCE OF ANY GRID -
EASEMENTS, COVENANTS, OR RESTRICTIONS /ytu7s�
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FBr
ANY DATA HEREON BE USED FOR CONSTRUCTION
OF FENCE LINES, OR FOR ESTABLISHING BOUND-
ARY LINES. DRAWN,
0fi
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OF At" %�
. Dusm M•rk S.w•rd•
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MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519.6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SW030401
Legal Description: (C15N R2W tat 8 Section 25 ]
Design Engineer: 0003 S & S Engineering
Owner Name: Linda Frank
Owner Address: 17043 Eagle River Loop Road
Eagle River , AK 99577 -
Date Issued: Sep 26, 2003
Expiration Date: Sep 25, 2004
Parcel ID: 051-281-09
Site Address: 16323 Shims St.
Lot Size: 108900 SO. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of.,
Q Disposal Field Q 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.
5. The following special provisions.
THE LEGAL DISCRIPTION OF THE PROPERTY FOR THIS WHICH THIS PERMIT IS ISSUED FOR WILL
CHANGE TO TISN R2W_SECTI0N 25 LOT.8A.'
Received By.
Issued By.
2
Date: X 6 /03
n- 1 u2/l 5/ • nr��- Date: 7 26 03
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 SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D.��S (— lJ �(J� Permit Number SW O �O 4-0/
Property owner(s)—L-11
Mailing address (1) i%OLJ3 Ea�(eQiut�1�� �oaC/
Mailing address
Legal description (Lot, Block & Sub'd.)
Day phone X21-1-373
Zip Code
Legal descriptionl( I.an. Tpwnship & Range) xCf toil c(,� x1 l:
Lot Size ^' v'Il UU Acre q.Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
I certify that the above
Single Family Dwelling
(Signature of propetfty f wnyf or
Permit Fees:
I�1
11
�ion Is corre
ccordacfce
orjted agent)
Well Only ❑
Water Storage ❑
Jacuzzi ❑
Water Softening Unit ❑
7%ZX'L51--of .
: I further certify that this application is being made for a
with applicable Municipal Codes.
Waiver Fees:
Date of Payment: D J Date of Payment
Receipt Number: eceipt Number:
(Rev. 12100)
Ruslr F f C SOS
126/°3 47240
&,� ROBERTC.COWAN, PE.
V
E GineekilIG
ROBERTA. SHAFER PE.
CML ENGINEERS
(907)694-2979
FAX(907)694.1211
September 23, 2003
HEALTHAWHORITV
APPRM&S
MUNICIPALITY OF ANCHORAGE
Development Services Department
P.O. Box 196650
Anchorage, AK 99519
SEWERSWATER
LMINEMNSIONS
REFERENCE: Lot 8A, Section 25, Tl5N, R2W, S.M.
SEWER&WATER
INSPECTKK+
It is requested that you issue a permit to install a well and a septic system to serve the
proposed four bedroom dwelling on the referenced property.
A test hole was excavated and a percolation test performed. The approximate location of
ENGINEERRMSTUOIES
ANGREPMS
the test hole is located on the attached site plan. At the time of excavation 5/29/03, water
was not found. After monitoring, no ground water was found.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
,,MECUM
A FLON TEST
areas or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the adjacent
properties.
SITE PLANS
If you require additional information, please contact us.
AW DESIGN
;Sincerel
Wt TEST
R C Cowan, P.E.
Y YEc�
Enclosure
/iRCOIATION
LEST
STRUCTURALS
LOECRANICAL
esPECTICNS
ONSITE
WASTEWATER
CISPOSALSYSTEA1
17034 NORTH EAGLE RIVER LOOP • SURE204 • EAGLE RIVER. ALASKA 99577
1" = 50'
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Pedcrmed For.
Legal Descriptici
Depth f /y
Municipality of Anchorage
Development Services Department
Buildng Safety Division
� ...
On -Site %VaW and Wastewater Program
47CO Scutt Bragaw SL
P.O. Bax 1966°.0 Anchorage, AK S9519-66.`.0
Www dancherace.ak.us
(907)343.7504
{ n . 4•
Soils Log -Percolation Test
N�/ Date.Perfomed:
r
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'
0
10-
12-
13- L
14;
1�-
16-
17-
13-
19-
00,1AMENTS
PERFORMED BY:
PERFORMED 141
aae
WAS CROUNDY/ATER
EXCOI: T? _01
AT WYATOEP7IW
IF YES, D
Depth to Plater After P
hianitortng? E
Rzz�n9 Data Gross Time NelTime Death to Water Net Drop
If
AD
17 r,
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F==CCLATIG`1 PATE fr t'esYc11 FERC HCLE 0W.ISTER
IT
..T RUN TNE_yFi AND FT
CERTIFY TiJ,;T THIS TEST WAS
STATE A?iD l.•�tAL GUID=LIMES IN EFFcCT O�I TriS DATE. DATE: