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Home My WebLink AboutCLYDE M DICKSON BLK 2 LT 7Clyde M. Dickson Block Lot 7 #007-055-17 Mayor Municipality of Anchorage Department of Health and Human Services . 825'L' Street P.O. Box 196650 Anchorage. Alaska 99519-6650,- http:/A w .d.anchorage.ak.us Permit Number: #SW 030114 Date of Issue: 5-5-03 Parcel Identification Number: 007-055-17 Date Started: 9-24-03 Date Completed: 9-27-03 Is well located at approved permit location? 9 Yes ElNo Legal Description: Clyde M. Dickson Sub Blk 2 Lot 7 Property Owner Name & Address: Ted M. Cadman 3212 Creeside Drive Anchorave. Alaska 99504 Borehole Data: Soil Type, Thickness & Water Strata Depth (ft) From 'To Method of Drilling ®air rotary cable tool Casing type: steel stick-up 0 2 Wall Thickness:, 250 inches gravelly silt 2 23 Diameter: 6 inches Depth: 123 feet sandy silty gravel 23 49 Liner Type: gravelly silt silty gravel silty sandy gravel wet water sand & gravel 49 62 100 120 62 100 ' 120 123 Diameter: inches Depth- feet Casing stickup above ground: 2 feet Static water level (from ground level): 78 feet Pumping level: 123 feet after 2 hours pumping.L5 gpm Recovery Rate: 15 gpm Method of Testing: airlift Well Intake Opening Type: ® Open End ❑ Open Hole ❑ Screened Start feet Stopped - �ffeet ❑ Perforations Start feet Stopped feet Grout Type: bentonite # 8 Volume: 1 bg Depth: Start 0 feet Stopped ? feet Pump: Intake Depth feet Pump size ho Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: Comments: Well Driller. Alpine Drilling & Enterprises PO Box 110496 Anchorage Alaska 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property i ? AT Z 1pahty of Anchorage 0 Mark Begich, Mayor Bttildincr Safety Division F.O. Box 196650 • 4700 Braga«• Street Anchorage, Alaska 099519.6650 • (907) 343.5301• Far (907) 343.500 April 23, 2004 http.//%,%w.muni.org Ted ht. Cadman 3212 Creekside Drive Anchorage, AK 99504 Subject: On -Site Water and/or Wastewater Permit. Permit Number: SW030114 Legal Description: ClTcR'MDickson 1416E -21bt.7' Dear Mr. Cadman: An On -Site Water/Wastelvater Permit, number SW030114, issued by this office for a single-family system, will expire on May 4, 2004 This permit was valid for 365 calendar days. If this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system. As -built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. A new permit for a second year may be issued for a fee of $115.00 if the renewal application is received on or before the expiration date of the original permit. When applying for anew permit, the fees are: $460.00 for a wastewater permit and $175.00 for a well permit. If you have any questions, please call this office at 343-7904. Sincer ew Jam s Cross, P.E. Ma ager On -Site Water and Wastewater Program Enc: Copy of permit 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 ONSITE WATER SUPPLY PERMIT Initial Date Issued: May 05, 2003 Expiration Date: May 04, 2004 Permit Number: SW030114 Parcel ID: 007-055-17 Legal Description: CLYDE M. DICKSON SUBDIVISION BLOCK 2 LOT 7 Design Engineer. 0000 None Required Site Address: NHN OLD MULDOON ROAD Owner Name: TED M. CADMAN Lot Size: 9643 SO. FT. Owner Address: 3212 CREEKSIDE DRIVE Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE, A 99504 - This permit is for the construction of: Disposal Field ❑ Septic Tank ❑ Holding Tank El Privy 0✓ Private Well F� 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. Received Issued Date: �? 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.enchorage.ak.us (907)343-7904 ON—SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING . ZD Parcel-I.D. io O'1- O SS - I -?-+cara4—eT Permit Number SW D ?D //4 .� -3317- t'i`f ti Property owner(s) Day phone aC - v 1 Mailing address (1)"iiZl Z r .-�._1�,c.tc_ lir IA r24�%:� e- . 495'0 Mailing address (2) Zip Code 'CLYDE . O/c1CSON Legal description (Lot, Block & Sub'd.) T_%�s z. Z k �L T .. Liz} . Legal description (Section, Township & Range) Lot Size Acres q. t 6 j THIS APPLICATION IS FOR: Number of Bedrooms 3 Sewer Only ❑ Well Only ,;ijt] 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. of property owner or authorized agent) Permit Fees: Waiver Fees: Date of Payment: =r - 2 i - O 3 Date of Payment: Receipt Number: 3 T S O -5, Receipt Number: (Rev. 12100) I lo' C.EA o.+'s" •MPJ a• SEMEASEMENTS LOT 8 / r / '� LOT 12110, / / LOT 10 \ `F // / / / / 00 - LOT 7 L9,643 s.f. o V4 t`¢'Cook �_ god �LOT 6 F? -Thm-."MP . of %47-Kbba icl�su._1oo, o� . tssuw�.o It. P ex,Q . roc�e•`� 07 '/ OpNRpP MU�p p\0 LEGEND Lai EXISTING ELEVATION IO2.3 PROPOSED ELEVATION —► SURFACE DRAINAGE PLOT PLAN —�L ASBUILT _ SCALE to ' 30• GRID 1840 Protect No. 03-031 Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515 907 522-6476 Phone Registered Land Surveyors 907 522-4625 Fax pF.Atherebyw yed � I hereby certify that I have survethe following described property: s LOT 7, BLOCK 2, CLYDE M. DICKSON SUBDIVISION .= �- Anchorage Recording District. Alaska, and that the Improvements sih,aled * 49g1 thereon are within the property tinm and do not encroach onto the property'9 adjacent 1herNo. that no Improvements on the property ting adjacent thereto ............. •• ••: encroach on the surveyed promises and that them are no roadways, transmission (Ines or other visible easements on sold property except as Indicated hereon. •••• ...... KENNETH LANG Dated this the IV 'l' Day of Mt,OtA k-03, at Anchorage, Alaska LS -622 02 It Is the responsibility of the owner to determine the existence of arty easements, covenants, or restrictions which do not appear on the recorded Subdivision plat. XMIL