HomeMy WebLinkAboutSHANGRI-LA LT 14hangri La
Lot 14
#020-043-32
Municipality of Anchorage
I Development Services Department
Building Safety Division
On -Site Water and Wastewater Program, 4700 Bragaw Sl.
P.O. Boz 196650 Anchorage, AK 995IM50 Page of
www ci.anchorage.ak.us (907) 943-7904
ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SWOIo01PIDNumber: 020-043-3.2-
RNn. A
Wricix Oyu
Wastewater System: JR New ❑ Upgrade
z
yea..• F0 110
ABSORPTION FIELD
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O DWP T Vv O SWiOv Twat 3.d Pt M O oa
LEGAL DESCRIPTION
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SEPARATION DISTANCES
❑Septic ❑Holding ❑S.T.E.P. Other.
To
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Septic
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Absorption
Field
Lift
Station
Holding
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ewer
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BENCH MARK
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Inspections performed by: �ar5 SDur�1411nd Dates: 1" 26 Ob
— A
6 260
c OF
2n°
Development Services Department Approval
iC,�9
��
� • 49TH
Conditional Approval Date:
4
. LARS S?�JniCLAND.w
Reviewed and approved by: Date: / 0- 09
(1k
SHA,GRI-LA SID
_ I
SWNG 17ES I
C 10.0' 60.8'
A 8 1I
OC F 08.7 91.6'
O R£PUCFYCN/ SAE
DISUUM 4-BCDROOY
BIOCMU UNK d MOVA
REMOVED ORGANICS
TOTAL LENOW 20 FI
TOTAL W70TN 16.5 R
WER SAND 27 FT
ROCK DCYAI 0.5 FT
COVER 3 FT i—
p EIREEE�
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I
I
RIO .00
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SHA
/ STORAGE EASEMENT �—
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i . 49th
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C15 0 Z5 50 75 Loo Ln 150 'h�::Q:•••
SCALE, 1' = 50 FT.
12rurcRLnrvu crvwnccronc I I SHANGRI—LA BU LT 14 I ( SEPT/C SYSTEU DESIGN
I
203 W AK.
AVENUE ALEX AND PATR/CA CHENG DAT£.• JULY 19, 2007
ANCH. AK. 99501 SHEET. 2 3
(907) 279-39f6 sHANrai-1e r.1ar.1F / GRID: 3239
PERMIT # SVO60171I
PID JJ 020-043-32 SGL01142.DWG
4' M7NIIOP
ASTM 30?I
CRAPE TO BRAIN _ FOCNDDATION CLEAN O/T
6EOTEXTILE -
BACK FILL
I I°I P 1 MINUS R RDCKN # as'�49P4i4�1
,.,=956;
.....:TX7ERSAN7'.I7', ' ...
ELEY.=92.9'.
STANDARD BED
NTS
1
24' MAX
DISCHARGE
I' PVC INFLLCNr
(D PPRINARY Ch4MB£R
m ACRATION CHAMBER
n, 0CLARIFIER
h GBISCHARGC CHAMBER
BDTTLM O' TAW
BLUEBDARD JNSaATILN
INSTALLATION
1. EXCAVATE A 10' x 10' x 10' DEEP MTE FOP BIDCYCL£ SYSTEM
2. PLACE A N!NIMX4 CF 4' SAND OP GRAVCL FOP LEV£LIN6 CORSE IN THE BDTTDN DF TIC £XCAVATILN
COMPACT AS R£DUIRED
3 PLACE 4 SHEETS DF Y x 8' x 2' D!R£CT BLRIAL R161B 1NSLEArILN DN TLP L7' COMPACTED LEVELING CORSE
TO PROTECT BOrnN CF FIBERGLASS TANK. TAKE EXTRA CARE TD ASSLRE THAT INSLLATID.N CORSE IS LEVEL
IN ALL DIRECTIONS
4. BACKFILL AROWD TAW LR TD INVERT LG' 4' IAFLLCNr AND 1-1/4' CFFLLCNT LINES VITH FREC-FLCVING NSF
MATERIAL FREE O• LARGE STONES DR BORDERS
PO'
tom--- 1L5'
1-1/4' SEN£. 40 PVC V/ ?- NLi- - 30'
IOP AND BOTTOM
h
M1Nl7OP TUBE
K NITDR TUBE
SAND/GRAVEL BACKFILL
BENCH LURK TOP SW CONCRETE FOUNDATION P1LE
ASSUMED ELEVAOON =110.5'
49th
V
I 11 203 W 15TH. A vo
NUE SHANGRI—LA f LT 4 SEPTIC SYSTEM
ANCH.AK.9161 ALEX
M0,200 II lR£I I SHEET. 3139 I
I PERMIT A SVO60171 PID M 020-043-32 sa01143BVG
04/16/2003 14:41 9073460057 SONSHINE PAGE 01
Mayor
mull ici,, l � of AuchorW
Dqmftnftta* tkaftOna nSwtkft
s
825 •V Street
P.O. Box 196650 Anchorage. Alaska 99519-6650
Mlp./hwww.clanchorage.ak.us
Permit Number. kSW Date of Issue: Parcd IdentVication Number.
Date Started: 6-16-02 Date Completed: Q} 7-02 Is well located at Mpo`'ed Permit location? ® Yes [I No
Legal Description: Estates Blk 1 hat 14
property owocr Nacre & Address: Ancitorape Development 6 Consirudbn, LLC
Borehole Data. Depth (it)
Soil Type, Thkimm do wakr Sims From To
sUck.up 0 2
a Ry cobblygravel 2 11
Bedrock . 11 307
1120 wf IrdemMent fiadrnes
20 gpm cased off 29 32
InlemMent fractures throughout
-with main source 55 W
Method of Drilling ® air rotary ❑ cable tool
Casing type: steel
Wall Thidmess: ,250 inches
Diameter: 9 inches Depth:27f6d
Liner Type:
Dkmcter inches Depth fed
Casing stickup above grmmd: ,? feet
Statie water level (from grand kml): Elfcet
Pumping level: 307feet after
g haus pumping X—Spra
Recovery Rate: 20 gpm
Method of Toting: air frR
Well Intake Opening Type:
❑ Open Ead ® Open Hole
❑ Saorned Start feet Stopped feet
❑ Pafixations Start feet Stopped feta
Groat Type: Bintarrftssrmrrdes Volume: L�g
Depth: Start0 feet Stopped jg— feet
Pump: Intake Depth feet
pump size hp Brand Name
Well Disinfected Upon Completion' ® Yes ❑ No
Method of Disinfection: pNbMrte�ablets
Comments:
Well Driller. Alpine DrEng & Enlerpnses
PO Box 110496
AnrJprage Alaska 99511
Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program r�
4700 South Bragaw Street I' 1
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904 ' n I d j
W
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Permit Number: SW060171
Legal Description: SHANGRI-LA SUBDIVISION LOT 14
Design Engineer: 0007 Tobben Spurkland, PE
Owner Name: ALEXANDER & PATRICIA CHENG
Owner Address: PO BOX 140742
ANCHORAGE. AK 99514 -
Date Issued: Jun 21, 2006
Expiration Date: Jun 21, 2007
Parcel ID: 020-043-32
Site Address: 6701 SHANGRI-LA CIRCLE
Lot Size: 94710 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
0 Disposal Field 0 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.
-WITH THE ORGANICS REMOVED THERE NEEDS TO BE ENOUGH SAND ADDED TO ELEVATE THE BOTTOM
OF THE PROPOSED SYSTEM .5 FEET ABOVE GRADE.
-CONSTRUCTION TECHNIQUES NEED TO BE USED TO GIVE SAND AND GRAVEL ABOVE GRADE
STRUCTURE.
-THE UPPER SIX INCHES OF A MOUND SYSTEM MUST CONSIST OF TOP SOIL, AND THE MOUND MUST BE
VEGETATED SUFFICIENTLY TO PREVENT ERROSION.
-A MAINTENANCE AGREEMENT NEEDS TO BE SIGNED AND SUBMITTED WITH THE AS -BUILT.
Received By: _( AA:�)
Date: C0 22 0
Issued By: �, Date: 21
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, Alaska 99519650
www.muni.org/onsite
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 02-0-043-3Z
Property
phone _3Yy- "+545
Mailingaddress 10 ILY140114;?. PQ -\eV\ Ci Zip Code gq!5lif
Site address 6931 S[rncri - La Circe Zip Code
Legal description (Sub'd., Block & Lot) _S�c.nurl - tca Lo} JY
Legal description (Township, Range & Section)
Lot Size qty. -410 Sq. Ft.
THIS APPLICATION IS FOR (® all that apply):
Absorption Field
Septic Tank
Holding Tank ❑
Privy
❑
Private Well
❑
Water Storage
❑
Number of Bedrooms 9
THIS APPLICATION IS AN:
Initial
Upgrade
❑
Renewal
certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of proberty owner or authorized agent)
Permit/Rush Fees:
Waiver Fees:
Date of Payment: 6La, /04 Date of Payment:
Receipt Number. Ali 8r Receipt Number:
(Rev. 11/05)
SPUTHamd EIMUNMBwong
0 Environmental Consulting and Design
SEPTIC SYSTEM PERMIT APPLICATION
LOT 14 SIIANGRI-LA S/D
Municipality of Anchorage June 15, 2006
Development Services Department
On Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, Alaska 99519
Subject: Onsite Wastewater Disposal System Permit # SW050091
Gentlemen:
We are re -submitting an application for the installation of a 4 -bedroom septic system for this lot.
The current permit was issued on April 20i°, 2005 and expired April 20'h, 2006.
The installation of this septic system will not prevent wells and septic systems from being
installed on the adjacent lots. There are no developed or natural surface / sub surface drainage
courses on this or the adjacent lots. The proposed septic system will not change the general slope
of the area. Ponding and/or concentration of surface runoff will not result from this installation.
If you have any questions, please contact me at 279-3916.
Sincerely,
Lars Spurkland
203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (907) 276-6013, SpurklandEng@gci.net
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water d Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Permit Number: SW050091
Legal Description: SHANGRI-LA SUBDIVISION LOT.14'
Design Engineer: 0007 Tobben Spurkland, PE
Owner Name: ALEXANDER & PATRICIA CHENG
Owner Address: 6801 SHANGRI-LA CIRCLE
ANCHORAGE. AK 99516 -
Date Issued: Apr 20, 2005
Expiration Date: Apr 20, 2006
Parcel ID: 020-043-32
Site Address: 6701 SHANGRI-LA CIRCLE
Lot Size: 94710 SO. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of.
Q✓ Disposal Field Z✓ Septic Tank E] Holding Tank [:] Privy Private Well E] 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.
-WITH THE ORGANICS REMOVED THERE NEEDS TO BE ENOUGH SAND ADDED TO ELEVATE THE BOTTOM
OF THE PROPOSED SYSTEM .5 FEET ABOVE GRADE.
-CONSTRUCTION TECHNIQUES NEED TO BE USED TO GIVE SAND AND GRAVEL ABOVE GRADE
STRUCTURE.
-THE UPPER SIX INCHES OF A MOUND SYSTEM MUST CONSIST OF TOP SOIL: AND THE MOUND MUST BE
VEGETATED SUFFICIENTLY TO PREVENT ERROSION.
-A MAINTENANCE AGREEMENT NEEDS TO BE SIGNED AND SUBMITTED WITH THE AS -BUILT.
Received By: U,
Date: 7 Al OS
Issued 8 Date:
Municipality of Anchorage
Development Services Department .*
Building Safety Division
On -Site Water and Wastewater Program "
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcell.D._ 070-0q3-37—Permit Number SW
Property owner(s) FATMCIA cNEJ� Day phone
Mailing address n. Bo c Z '4/111 c -4 ' ht IZip Code O' J 5 )q
Site address 1L1Jnq(1 `Q' l AnC a Zip Code cigS1C-
Legal description (Lot, Block & Sub'd.) ' y� nYl = it �bT I y
Legal description (Section, Township &Range)
Lot Size
Acres/Sq.Ft. Number of Bedrooms 3
THIS APPLICATION IS FOR:
Sewer Only 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 wA applicable Municipal Codes.
(Signature of property owne4or authorized agent)
Permit/Rush Fees: Vte Waiver Fees:
1.
Date of Payment: _2/17jc r Date of Payment:
Receipt Number. G c '2 Receipt Number:
(Rev. 09/04) J V
y,
Environmental Consulting and Design
SEPTIC SYSTEM DESIGN
LOT 14 BLOCK 1 SIIANGRILA
Municipality of Anchorage
Development Services Department
On Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, Alaska 99519
January 5, 2005
We are submitting an application for the installation of a septic system for this lot. The submittal consists of three (3)
drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed
improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a schematic
Of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic
system design is based on the following
Groundwater at 4.5 Ft.
Use Standard Bed with BioCycle
Soil Rating. From Testhole 12/17/04.
20 min/in --2 gal per sq.f /day
No. of Bedrooms 3
Required Area per Bedroom: 15012 -75 sq.R.
Total area required: 75 x 3 - 225 sgft
Width 15 ft
Length 15
USE 20 FT
SYSTEM CONFIGURATION
BIOCYCLE
STANDARD BED
TOTAL LENGTH 20 FT
TOTAL WIDTH 15 FT
REMOVE ORGANICS
FILTERSAND TO OBTAIN SEPARATION TO GROUND WATER, 2 FT MIN
ROCK DEPTH 0.5 FT
COVER 3 FT
The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent
lots.
There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface
runoff will not result from this installation.
203 West 15'h Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (907) 276-6013, SpurklandEng`Ca gci.net
7 I 8 I 9 I 1
0
SHANGRI-LA 31/D
i
/I R htj�1
/ c I
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IS I ®� ��PI00.00
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� •
............r..„.........1 ..� 19
•
]H SPURKLAND
No. c[ -22n .. /
FEsst�.•' � � /so 0
Ix 150 200 250 Sao
Er 1' = 100 FT.
"'� `^ I I StiANUM-M ES%ATES EK 1 LT 14 I I SEPTIC SYSTEM DESIGN I
IA907NCH. K.279-3916_TH. AV£NU£ ALEX AND PATRICIA CNENG DATE: JAN. 25, 2005
(NCH. AK. 99501 SHANGRI-LA CIRCLE SHEET. 1/3 GRID: 3239
_
PERMIT #SV020XXX PID 0 016 -141 -XX 5L7`LO3A31.DVG I
14
SHA IGRI-LA SID
WAU STANLNRD J -BEDROOM =UW I
Br TAW
0 I
TOUL UWTH 20 rT I
TOTAL *VTH 10 It
REMOYr ORG/AWS
1XIM SANG TO OBTAW SEPERAMM TO CAOONO, 2 rT MAV.
ROCK DIM 0.5 rr
COYER J 1T
CIRCLE
FRWARY SYSTEM 1
SNAN ' � �
STORAGE EASEMENT -
,&S VUSUSUR44
OPE 6 •.•�E....,,,., 4
.`P.•......
/ : C2Aw '' ♦♦
>�♦i
.-..iii 4s.... th.....`......J. `...:s
�...............y.. ... vjj(( •
T13 N SPURKLAND •••*•
No. CE-2223tii /
?5 0 P5 50 75 100 f25 150 ♦♦♦♦ ;Q:•••�••
SCALE, 1' = 50 FT.
' I I SHANCRI-LA BKI LT 14 SEPTIC SYSTEM D£S/GN I
203 W PSTN. AVENUE
ANCH, AK. 99501 ALEX AND PATR/CA CNENG DATE.• FEB. 2, 2005
(907) 279-3916 SHANGRI-LA CIRCLE I I SHEET • 2/3 GR/0: 3239
PERMIT t SV✓0103XX PID k 050 -XXX -P4 SGL011420W6I
b
4'MNITEF
34
M
ASTM �a34
,- GRADE TO BRAIN
BACK FILL
STANDARD BED
NTS
—� ?4' M4X
I
_5J
F-uDMDlarrov aEal DUT
SLOE FINWV GRADE AVAY
I-FROY ILP IN ALL BIRECT/OVS
DISCFARGE
rm U
4' PVC PF ULWT
m PPRIxMRY CLAMBER
m AERATIDV CHAMBER
Tu m CLARIFIER
Ih ®DISCHARGE CHAMBER
h .BOTTOM Dr TAAK
BLLEROARD INSL(ATEW
INSTALLATION
L EXCAVATE A 10' x !0' x !0' DEEP FELE FLR BIQ:'YaE SYSTEx
P. PLACE A x/NBNN Or 4' SAND D3 GRAVEL rW LEVnPC CD.RSE DF PC BOTTLK B TFC EXCAVATJM
COPACT AS REWIIREA
I PLACE 4 SHfrrS Or Y x B' x 2' DIRECT BLR/AL RIGID INSlLATIOI O4 TIP Or CWACTED LEVaIAG CD.RSE
TU PROTECT BOTTOM O' FIBERGLASS TAW TAKE EXTRA CARE 10 ASSLRE THAT 1NSLLATIM Ca#?SE IS LEVa
IN ALL DIRECTM
I. AACKFILL AR"D TAW LP TO INVERT Or 4' BJ'LLENT AND 1-1/I' ETTLLENT LIAES VDTx FREE-TLOVIF,G ALT
MATERIAL FREE Or LARGE STOWS DR BDLBERS
20'
I 1LY I
1-1/4• SC1EDLf.E 40 PK V/ 3/D' IaES F JO'
TOP Ax0 BOTTOM
FLTYITOR TUBE
Tn
�— MNVITOR TUBE SAND/GRAVEL BACKFILL
I 203 W L S ¢ S
T95V£NUf 10
ANH. AK.9GUCCNCII AND
HEI f SHUT 3/3 GRID 3239 I
IPERMIT # SV030XX PIp # XX SGL0114.BVG I
Municipality of Anchorage GINE 'S
Development Services Department
Building Safely DMsion aetsn
O �it On -Site Water and WastewalerProgram "je'-'-'" U� F
4700 South Bragaw SL _
P.O. Box 196650 Anchorage. AK 99519-6650
www.ci anchoraceak.u5
(907) 343-7904
Soils Log - Percolation Test
Ow'o•medFor: /ALEX f 17ATQICIA C.I•IMNC-, Dateverrormed:_ 12-17-0A1
L=.aI Oescr:phon: _LOT 14 151 �: 14 A NG Ql LA Township. Range. Section:
-, c..
2C-
1-joytr ei
�s,l�� sQar�Q
�S H
;-: S ,11HloS „5 -
WAS CROUNO WATER
gl✓D QoCtL ENCCIJ.:TE=ED'
s
IF YES, AT MAT DEPT W -'iE
D
•
Depth to Wale, After
4 .% E_
Atonllaringi E
Dale:
Reading
AESO
DateGross
Time
Net Time
OegthtoYlater
Nit!D•:o
"P
�
I
FILL
'Z/0/0)
''4
o
I 011`414i
7 61
I / 5
'
t,
o
I '/_z
/ ' �. I
FERCCLATICH PATE �CV I'.+.utrct FERC HCLS DIAMETER h 11
TEST RU": 9 -ME -P) eZ. FT A.vo FT
c=FCR:aEO BY: IT.CERTIFY TXAT THIS TEST V::S
°E?FOR%IED IN ACCORDANCE Y"r. H ALL STATE AND A:UN:CIPAL GUIOELI ES IN EFFECT Of] THIS OAT E. DATE: s C
Permit Number: SW020085
Legal Description: HORACE TR 3A
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Initial
Date Issued: May 01, 2002
Expiration Date: May 01, 2003
Parcel ID: 020-043-11
Design Engineer: 0000 None Required Site Address:
Owner Name: Anchorage Development & Construction Lot Size: 108900 SQ. FT.
Owner Address: 9441 Abbott Loop Rd. Total Bedrooms: 0 Permit Bedrooms: 0
ANCHORAGE. AK 99507 -
This permit Is for the construction of:
j 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.
5. The following special provisions.
yExploratory well permit for proposed Shangri-La Block 1 Lot 14
Received By:
a
Issued By:
Date:
s v.3 -oz
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.enchorage.sk.us
(907)343-7904
ON-SITE SEWERMELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING.
Parcel I.D. r)a-O-oQ3l - 12- Permit Number SWo2 0085
Property
17�_O-C)0 3 -f 1
owners)i7No<IDF �Mi°/if<h�nncT, Dayphone SVGX107
Mailing address (1) gLW1 417
14 k<"i
Mailing address (2)
41A6V-A
Zip Code ae7bw.
Legal description (Lot, Block & Sub'd.)
L4- t4 l4
h ( �i' 11Gr I - !� RC)
Legal description (Section, Township & Range)
Lot Size �L - 5 Acres/fit.
Number of Bedrooms _ Q t�w
/ o , yoo D7-
-THIS APPLICATION IS FOR:
❑
Well Only
Sewer 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.
(Signature of pioperty owner or authorized agent)
Permit Fees: /5-D - ca Waiver Fees:
Date of Payment: C/ 03- Date of Payment:
Receipt Number: 9 D Receipt Number:
(Rev. 12100)
I �
PAD ELE I
� 1110.0
w -
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•r.. l� i .,_Yc - ♦ j/Y'.r.a. t Va i��.'�`.
psi 7. t
♦ .� if/� t t.!�.
� AO
r PA ELEV.
40.0
15,
- Municipality of Anchorage
-- Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St. S *A. I I
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWERIWELL SUBMITTAL COMMENT SHEET
To: TOBBEN SPURKLAND
Legal description: SHANGRI-LA LOT 14
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 fill over tank or field._
® Other. NEED TO BOTTOM OF SEPTIC FIELD V ABOVE 1/5103 HIGH GROUNDWATER. TWEED RESERVE SRE
Name of reviewer: JOE GOODALL
Date: 3/2/2005
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK