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Home My WebLink AboutT12N R4W SEC 10 LT 10AOnsite File T12N R4W Sec 10 Lot 10A #011-161-55 Municipality of Anchorage 7.1 Development Services Department ° Building Safety Division ° On -Site Water and Wastewater Program s . [ .. 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWERMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D. Dll'/m1-S5' Permit Number SW Property Mailing address Mailing address BI k & Sub'd ) IM ..e y Day phone .d _/ 7�aP Code _9E SD 2 Legal description (Lot, oc / Legal description (Section. Township & Range) Sas.,P yo-� Lot Size F QKt rzC Acres/Sq.Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only -r' Well Only Sewer and Well t �� Water Storage Sewer Upgrade THIS PROPERTY CONTAINS Hot Tub 4ti Jacuzzi Swimming Pool Nater Softening Unit Therapy Pool I certify that the above information is correct. I further certify that this application Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authok*d agent) Permit Fees: 1 '7 Waiver Fees: Date of Payment: r- Date of Payment: ReceiptNumber: % % �_ I Receipt Number: (Rev. 12/00) e is being made for a M 4 SUNvx t,e•x-e .� • oRq�w.FY HlGwi WA��P+ LING ' SU9'4l'ol•S1•L. 1'52.27 _� • t.o'f 1 � SHac ylom mo -mc o' n Z IS -• N N 17Eu�- .L N 0 5 D • y,crttia cu�w..R N ' ' . l or lj Municipality of Anchorage ... Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 19WW Anchorage, AK 99519-8850 www.ci.anchorage.ak.us (907) 3437904 ON-SITE SEWERIWELL SUBMITTAL COMMENT SHEET To: Nonnan Ashlev Legal description: T12N R4W sECTioN 10 LOT 10 The attached paperwork has been reviewed and is being returned for the following reasons: ❑ Original signature or stamp missing on ❑ calculation error in design. ❑ Additional soils information needed. ❑ Water monitoring results inadequate. _ ❑ Discrepancy in information submitted. ❑ Topographic information missing or inadequate. ❑ Incomplete; missing ❑ Incomplete; missing ❑ Additional adequacy test information needed. ❑ Water sample unacceptable. ❑ Measured/proposed distances/dimensions missing. ❑ Locations of all soils, percolation and water monitoring tests not shown. ❑ Proposed system too deep for soils information submitted. _ ❑ well log required. ❑ Omission in narrative. ❑ Insufficient iiiil over tank or field._ .. ® F �,xn Other. Well permit application really needs to no over to the D r 9111 Reith (269.75001. On-Afte department needs to refund Norman Ashiev f175A0 Name of reviewer: Log Goodall Date: 5113/2004 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK TONY KNOWLES, GOVERNOR DEPT. OF ENVIRONMENTAL CON~I~RYATION ANCHORAGE/WESTERN DISTRICT OFFICE 555 CORDOVA STREET ANCHORAGE, ALASKA 99501 RECEIVED. August 1, 1995 AUG 41995 Municipality ot Anchorage Dept. Health & Human Services Mr. Norm Ashley 8422 Emerald Street Anchorage, Alaska 99502 · Subject: BLM Lot 10, Section 10, T. 12 N., R. 4 W., S.M. Alaska, Anchorage, Alaska, ADEC Project Number 9521-WW-180-:368 aqd 9521-DW-180-149, Review Dear Mr. Ashley: As of July 14, 1995, this office received information that completed your submittal regarding the public water'and wastewater disposal systems serving the above-referenced facility. I have reviewed the submitted information, this office's file on this facility and other pertinent references. Based on this review, I have the following comments. Wastewater DiSposal System Based on the information that you have provided, it appears that the wastewater disposal system may be capable of accepting wastewater flows from three bedrooms, bathrooms and kitchens. Therefore, in accordance with the Wastewater Disposal Regulations (18 AAC 72), the existing wastewater disposal system is approved for operation with the requirement that monitoring tube(s) as noted in my July 7, 1995 letter. This letter constitutes final operation approval for the wastewater disposal system serving the above- referenced facility. ~ Drinkinq Water System Although the existing Class C Public Water System was not designed by and installation monitored by a Professional Engineer as required by State Drinking Water Regulations, it does appear that the demands (without fire flow) placed on the existing system can be met without endangering public health. This assumption has been confirmed by a third ' party knowledgable with the State Drinking Water Regulations and the operation and maintenance of public water systems with surface water sources. As a result, the existing Class C Public Water System is approved for the concerns of this Department with the requirement that a routine maintenance procedure/program is development and used. A Final Operation Certificate, constituting this approval, is also enclosed for your use. Norm Ashley August1,1995 Page 2 The Public Water System Identification Number (PWSID #) assigned to this system is .218465.. This number will need to be included on all analytical results submitted to this Department. A water sample will need to be collected and analyzed for Total Coliform Bacteria once every three months, with the results submitted to this Department. A log of all maintenance procedures completed will need to be maintained on-site. Copies of this log will need to be available to this Department when requested. These approvals do not imply the granting of any additional authorizations, nor do they obligate any federal, state, or local regulatory body to grant required authorizations. Thank you for your cooperation with this Department. If you have any questions, please do not hesitate to contact me. Keven K Kleweno, P.E. Environmental Engineer KKK/pt Enclosure: As Stated CC: Lynn Johnston, ADEC/EH/DW, w/o Enc. Jim Cross, P.E., MONDHHS, w/o Enc.