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US SURVEY 3042 LT 7B T10N R2E SEC 19
Onsite File be -veal opmvii. 11-70SM.Aces bepar-�"Mvqt Build -in _q Safety bivision, on-site wa"rer Sh We"Stewateir proqrwrn 4700 El*norc Pon -d z .P.CD. &ox 196650 Anclhorn-g;e, AK 9950-7- S A V C T -i Mark Begich 90 Mayor Well Log IlermftNumber: OSP171261 Date of Issue: 9/11/2017 Date Started: 9/14/ 7 Date Completed: 9/14/ 7 Is well located at approved permit location? II Yes H No Legal Description: US Survey 3042 Lt 713TI0N R2E SEC 19 G:5013 Property Owner Name & Address: ArdZacl(aryJ 480 Sproat Rd. Girdwood, Al( Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From TO sticl(up 0 = 2 overburden 2 4 sandy gravel 4 25 clay & gravel 25 31 gravel w/ sand dry 31 88 water & gravel 88 j 97 Water Sample Results: Arsenic: Nitrates: Total Collfom-i Bacteria: Other Bacteria: Method of Drilling rx-1 air rotary [I cable tool Casing type: steel Wall Thickness: .250 inches Diameter-- 6 inches Depth: 97 feet Liner Type- Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 82—feet Pumping level: feet after 110UM PUMPincl - gpm Recovery Rate: 15 gpn'l Nlethod of Testin-- airlift Well Intake Opening, Type: FRI open End F-1 Open Hole F1 Screened Star feet Stopped feet F-1 Perforations Start feet Stopped feet !Ljr0Ut'j'VVe: OVIRMIlLe Volume: gmiwles Depth: 20' Start 0 feet Stopped 20 feet Pump: Intake Depth feet Pump size — bp'Brand Name Well DisW-ected Upon Completion? M Yes F1 No Nfethod of Disinfection -chlorine tablets Comments - Well Driller: Hefty Drilling, Inc. 3540 AkUla Dr. U&I L es\ colonies/100ML-el ;J"17o col/100mL Anchorage, AK 99516 Attention: The well driller shall provide a well log to DSD within 30 days of completion. Development Services Department Building Safety Division c e; Gfi B On -Site Water & Wastewater Program o a 4700 Elmore Road ; z P.O. Box 196650 MarkBegich Anchorage, AK 99507 s n E T Y Mayor www.muni.org/onsite (907) 343-7904 Pump Installation Log Well Drilling Permit Number: d� Date of Issue: Parcel Identification Number: Legal Description 0 LP Property Owner Name & Address: 6-r/ov Vc/1 Pump Installation Date: Pump Intake Depth Below Top of Well Casing: 7L-) feet Pump Manufacturer's Name: Pump Model: /0 5 qL U % — 2010 Pump Size V) --hp Pitless Adapter Burial Depth: % D feet Manufacturer's Name: /VA lAt^ C� , Pitless Adapter Installer: / `vay Well Disinfected Upon Completion? rkYes n No Method of Disinfection: CA j6y-►ham Ta. b5i Comments: Pump Installer Name: / J � lefty Drillucg, Inc. P.O. Bcqui 30 9lncfiorWe, AK995n Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. 0 w ti El spRol 71 N 10 �®'0��'� m 16SI®' v O / mCs / o Gp / co v, G) r a = y ami M rn O 5 ° / < N 1" l m rn v � o W O \ n f� O .7°����0„� BAR Fp q k\ \ O I6 S co N Z o 'J c) e �� N, r° Cl) x s a N,c_PAy T� MUNICIPALITY OF ANCHORAGE On-Site Water&Wastewater Program •,---:\ S,; PO Box 196650 4700 Elmore Road �,. 4i, Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 R http://www.muni.org/onsiteArt k' 1)ci,at:tnt(tit �N�N OR0.GE On-Site Water System Permit Permit Number: OSP171261 Effective Date: 9/11/2017 Work Type: Well Initial Expiration Date: 9/11/2018 Tax Code Number: 07513260000 Site Legal Address: US SURVEY 3042 LT 7B T1ON R2E SEC 19 G:5013 Site Mailing Address: 480 SPROAT RD, Girdwood Owner: ARD ZACKARY J Lot Size in Sq Ft: 27225 Design Engineer: Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank El Holding Tank 0 Privy 2 Private Well 0 Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: To close out this permit, please submit the following: 1. Well log 2. Pump install log 3. Water sample results for total coliform, nitrates and arsenic. Ensure the 25 foot separation is maintained between the existing private sewer line on this lot and the well. Received By: rte jj a, ,I(J i if _ Date: .r v Issued By: e :AIL_A_ • a ' Date: • O 0 17 '`'cic U I S IIC1PALITY OF 4\ NCH • t7; AGE Community Development Department ,i P-' {� Phone: 907-343-7904 Development Services Division -'` Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. crc' 13 7 - (=,O Property owner(s) �"f K /(‘F� Day phone c-76. - S.--.6-Y666 Mailing address :l) -3.0C /U�ZT1,( ' K.. Site address y Ffl:) S?roa.-4- RoA.1I Gr-4%AIott 99587 Legal description (Sub'd., Block & Lot) US 5 ci rtVa`f ear 7 Legal description (Township, Range & Section) Lot Size 27► ;Z Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑ Initial Pr Single Family (SF) )S1/ (w/wo ADU) Septic Tank ❑ Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy E (SF and/or D) Private Well t Water Storage ❑ . THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable M - -pal Codes. (S. ature of property owner or authorized agent) Permit/Rush Fees: 2/ Waiver Fees: Date of Payment: C'/ (o/!? Date of Payment: Receipt Number: 641351-163 Receipt Number: Permit No. 051)/717.40/ Waiver No. Permit App_9-1-12.doc / I HEREBY CERTIFY THAT I HAVE SURVEYED THE _ ������\ II \ PROPERTY DEPICTED ON THIS DRAWING AND THAT THE _ OF \\ © / LOT CORNERS HAVE BEEN FOUND OR ESTABLISHED AS ------ ........46,1 / FOUND 4"X4" SHOWN. TO THE BEST OF MY KNOWLEDGE AND ''N/ '9 \''.... *...% 5 ��� - WOOD POST ABILITIES, ALL DIMENSIONS HAVE BEEN MEASURED i 5.' TH� !TRUE AND CORRECT. IT IS THE RESPONSIBILITY OF THE , * ' 49 !/ s OWNER, PRIOR TO CONSTRUCTION, TO VERIFY THE f 2-?f--------- / �� PROPOSED BUILDING LOCATION ON LOT, BUILDING j .r^' 6DIMENSIONS, GRADE AND UTILITY CONNECTIONS AND TOS/ 9 • e / J FRANK R. SELL >a / / cj DETERMINE THE EXISTENCE OF ANY EASEMENTS, !!c'sr�'., NO. 3252-5 ••' Q,``i / / //\/- \ s �� COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR (1 9F ,•. ..•,•'dos \ 4 \ %/ // � '\(APPROX.) TING SEWER ON THE RECORDED SUBDIVISION PLAT. •11;\\\\``1r // / / 114,8' LEGEND / 20 0 40 / �/ // ‘... 0- °`) tiC, ® FOUND WOOD POST / / �� • FOUND 1/2" REBAR GRAPHIC SCALE /4.1 1 6›, s 1"=40' / • i� /' / / � 1 '\� 12` � / j �O /�^� ;.. � /1/45:)./1/45' \ 0 SET YELLOW PLASTIC CAP / y . / /. Q' �1 ,�� ��;, , �:1 O•. ,�., /� s OS SEWER MANHOLE (APPROX. LOCATION) / (4 /(47 O0 N ��'',- ,;•.:,;>:,� P ;POSED 6S '6� O \ Qi WELL (PROPOSED) • .F O O OO c2. c5 •.� - 1111. GRAVEL DRIV v' d'j• '9 / Q. �/0 �`b,p0 .� j rcJ \ S DRAINAGE PATTERN (EXISTING & PROPOSED) ,<QO' i's.‘ -cY r�: 'G/ PROPOSED` • \ki�p� (M) MEASURED I�O l /o° YURT (F.F. ± 116') 0/ 106.2' \ (# #) RECORD PLAT Q I ,.-40� =:-_ 1 1 6, GROUND ELEV. /�� 111.6' '` l'�,! BEV/EF•L. New wEt,� J . AT PROPERTY NOTES (� CORNER (TYP) / '� ' LOT 7B �� �9 / / ,, s' / 60 ,. 2 : - SF 70-370) \ 1) BASIS OF BEARING AS PER U.S. SURVEY No 3042.. // / -4. �'�, / ��1 )1�, 2) RECORD DATA FOR LOT SHOWN AS PER RECORD PLAT / / / \ No 70-370. vi S6, S6, r,V �� x� '��/ �. ), `9 ,� // `S / SOD mss. '�cO ,? 3) MOA BENCHMARK GW-4 WAS USED FOR BASIS OF / / p�,8� �' A. �,��`� VERTICAL CONTROL, PUBLISHED ELEVATION 102.70'. / - � 6S� ti0p 4) PROPOSED FINISH FLOOR ELEV = 1116'. / / O . O 0, O p fl 5) PROPOSED LAND BUILDING CORNER ELEV = 1112 . / / pJI 6) PROPOSED ROOF OVERHANGS: N/A // / -�� :41 fai ! n $holt 13-e_ :: fl cLul ow'oc� be-1 ori LutLf PLOT PLAN FOUND 2"X4" 6 102.6 << i F. Robert �f LOT 7B OF GIRDWOOD SMALL TRACT GROUP WOOD POS i / i od c •i vQ fi f 1 ' `� (A RESUBDIVISION OF LOT 7 OF U.S.SURVEY No 3042) Q v LLAs,L I , U v, PREPARED FOR: DAVE MAGOFFIN I \� 1 O OP P.O. BOX 80322 \ roe Cr I LI I .`G_. FAIRBANKS. AK 99708 /77.7 �>>a�a ll�� `> 1�� GRID No: DATE OF SURVEY: SET YPC ON r> 5012 OCTOBER 27 & 30, 2003 5/8" REBAR r I�i ��� �0 CHECKED BY: CLB CBS JOB NUMBER: 2003-518 (TYP) DATE: DATE: SCALE' 1"=40' 10/30/03 TAX CODE No. cam?s-- I-3 -p_ - 60 GRID No. (403 /2. -/ T MUNICIPALITY OF ANCHORAGE — SEWER UTILITY PROPERTY; Name MAGoFFsp ,-TA.KE.s, ermAddress"Boot Bb-3z? l FAQ ci 9_spl Acct.No Plat No. Subd. U S 3 3o y "z s I9 -1-10014. Rae Lot '7-$ Block Residential 0 Commerial 0 Industrial 0 No. of units CONNECT: ! i 17 Main Tap 21. On Property 0 Permit No. 84 D Size 411 Type Drawing No. Size Main Type 'b= Depth at Connect a Insulation 0 Cleanouts _Type Connect Agent S.M. Su.GT-T Inspector us k. I.. Date Comments.. — Connect Location go-7—r-e../%+ T' -r .tit 1 N P?� I ASSESSMENTS: 1-lasvz aT3o X L-ID L.I.D. No. 1?8 Private Dev. No. Subd. Agreement ❑ No. Sewer Agreement 0 No. P.T.E. 0 Roll No. DYE TEST- Positive [] Negative 0 N.S.A. ❑ Date r. Page No. M.H. No. Billing Cycle Tested By Comments "ON PROPERTY" Service Line Location By Sketch M t+A-7- Show Location of Control Manhole a 0 ST T ALLEY `D z _ 0 tiN or'r' gra G�tr f� 660 e c-r. LoTIP PoLz UI z .r11 z m iotz Comments -T-Ftt 5&t'.iicc. e- a = s A L,,,` D� t� - L✓G,G.a A-r- zJN-E c?Nb, AND _ 8 D Ff3c311r N -2� �/t/ K8UN|C|PAL|TYC)FANCHORAGE /`7 - =-= ^''7 -d 'C/ . /1ER ���������� �� N�� N�0���� I����NNE��T PER|�Ul� , Illi ti,c, Wit.! WATER & WASTEWATER UTILITY DATE OF APPLICATION : 0012/2018 3000 ARCTIC BLVD. PHONE:(907)564'2762 SCHEDULED COMPLETION DATE: 12/31/2016 BLOCK/LOT/TRACT: LT 7B/ ffi SINGLE FAMILY SUBDIVISION: US SURVEY 3042 0 DUPLEX F- COMMERCIAL EK4ULT| DWELLING NoAPTS 1 TAX CODE. 07513260000 GRID: OE5013 STREET ADDRESS: 000480 SPR[}ATRD . /\K OWNER: MAGOFFIN JAMES S JR & ELR|TAJ PHONE: MAIL ADDRESS: PO BOX 80322 FAIRBANKS, AK 997080322 x� ^ . CONTRACTOR 4-.--6.. Lc-NAZ-.~�,E~-,' , ASSESSMENTS / 0 Repair Existing Service El Main Line Extension ri On Property Only 0 City Tap 0 Have Been Levied D Hydrant Only il To Be Levied 0 Main Tap To Property Line Only Comments: El Main Tap & On Property Connect Row No. /^ El Disconnect Fli R & R Main Tap Only Dwner |�e� /' �� / ~ ` ' CONNECT SIZE 4 in ISSUED WWGEH INSPECTION FEE $ 10300 Er'- |D Fl CASH 72.00 PERMIT FEE $ El CHECK# $ 1.51 Er(0THER ~< c(-/� -//� -14 DEPOSIT$ 0.00 REIMBURSABLE INSPECTED BY ��� NUMBER TOTAL$ 176.51 ��` ~`"v �� D4TE 9/,L^»co REMARKS PERMITEE (Please Print) ZACKARY JARD PHONE (208)631-2263 MAIL ADDRESS 480 SPROAT RD GIRDWOOD, AK 99587 _~'. , ''''''7 _ ~ SIGNATURE (--~���-----��--' `? / / /L/ E-MAIL ^ ' /- POST IN A CONSPICUOUS PLACE AT THE JOB SITE INSPECTOR COPY DATE SCHEDULED 12/31/2016 TIME 12:00 am INSPECTOR SUBDIVISION US SURVEY 3042 BLOCK/LOT/TRACT LT 7B I INDICATE NORTH QvL v t; WYE BM� / Lto 04 QVG tea0 gut, lu° 4,31 1I Bcn� I /-ftlr i SIZE MAIN: g TYPE MAIN: Do DEPTH AT MAIN: AT PROP. LINE: ! CONNECT LOCATION: fir Fowl V01-6 COMMENTS:Cotru4G}_ CtivWt-eaa O S#-vb Will) (‘;:31 N v✓ of f114 a XI° 13.-(4,-01 .E Uo' is 5413^("©g INSEPECTED BY: t,Jc/brt' IDATE: /47/40 47l 1p �Ye tin t -S tZ N`n 5 ' cwa4 44 1 o t cit Li" yv f, k b t-16"- 4" pvc- Fd \ W. j:,nCS tri PI u9-t�` cN4.cr 0,\<154-vi 4F 17roecr}}' 1:hE t,,„6 51�r;�ow V L- exp4c1-4. L--.oc444m5 Chet,.,S-e. Pq ik.sk1a��. US Survey 3042 Lot 7B 075-132-60 EXPIRED PERMIT a MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water& 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: Nov 10, 2003 Expiration Date: Nov 09, 2004 Permit Number: SW030472 Parcel ID: 075-132-60 Legal Description:L1U.>r-5urvey`30421Zt_7B' Design Engineer: 0000 None Required Site Address: T1 ON R2E Sec 19 Owner Name: James & Elrita Magoffin Lot Size: 27225 SQ. FT. Owner Address: P.O. Box 80322 Total Bedrooms: 1 Permit Bedrooms: 1 Fairbanks , AK 99708 - This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑Q 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 dosed on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued y Date: By: Date: �O 03 Municipality of Anchorage 'p♦ Fe 6� -. 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 SEWERIWELL PERMIT APPLICATION FOR A /SINGLE FAMILY DWELLING Parcel I.D. ?r)� c;-- -�.3 Z— eor) -_Permit Number SW 30 % Property owner(s) /" GOFrZN .4 f* A4 r,i 4-- F L-Z.Xra-Day phone 90 7 q7 ? ` 4�61 Mailing address (1) +?O 3Q44^ 9232E /��t�3RNK .4K i 997015 Mailing address (2) Zip Code Legal description (Lot, Block & Sub'dJ )S S'y 1': " _30L1Z _ Legal description (Section, Township & Range) Tn n%i r?:a r S Q r 1 R Lot Size 'cres q.Ft. Number of Bedrooms 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 Dwelli g is in accordance with applicable Municipal Codes. 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