HomeMy WebLinkAboutLAKE RIDGE TERRACE BLK 2 LT 16ALake Ridge
Terrace
Block 2
Lot 16A
#051-315-11
ARCTIC PoxxP& WELL INC.
Jim Suffiran
poBox Tm\97
Eagle River, xuoyx77
W- dif I --m�
(907) 688-2510
/~ /' (907) 243-2282
Well Drilling Permit Number: oap131223
Parcel Identification Number: 05131511000
Legal Description Lake Ridge Terrace
Lot: 1Ga
Block: 2
Pump Installaion Date:
Pump Intake Depth Below Top of Well Casing:
Pump Manufacturer's Name
Pump Model:
Pump Size:
Pitless Adapter Burial Depth:
PitlessAdapter Manufacturer's Name
Pitless Adapter Installer:
Well Disinfected Upon Completion?
Method of Disinfection:
Comments:
Pump Installer Name:
Fridqp, August 30, 2013
Date Of Issue: 7/24/2013
Property Owner Name Address:
Lisa Johnstone
14925VVLokehdgeDr
Eagle River /\K 89577
7/31/2013
39
Franklin
iUJS05P4-2VV230
1/2
12 Feet
Yes
Chlorine
On-Site Water System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 EImore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Permit Number: OSP131223
Tax Code Number: 05131511000
Work Type: Well
Permit Effective Dates: July 24, 2013 to July 24, 2014
Design Engineer: NORTH RIM ENGINEERING
Subdivision: LAKE RIDGE TERRACE
Site Legal Address: LAKE RIDGE TERRACE BLK 2 LT 16A G:0653
Owner/Address: JOHNSTONE LISA JOAN
14925 W LAKERIDGE DRIVE EAGLE RIVER AK 995779260
}artment
Site Mailing Address: 14925 W LAKE RIDGE DR, Eagle River
Lot Size in Sq Ft: 21562
Total Bedrooms: 3
This permit is for the construction of:
N Disposal Field N Septic Tank N Holding Tank N Privy Y Private Well N 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 Ddnking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By: , ~' Date:
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Services Division
On-Site Water & Wastewater Program
Phone: 907-343-7904
Fax: 907-343-7997
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. OSI'-
Property owner(s) ~--i~ ~ ~,
Mailing address ~,~ ~,
Site address ~ ~ ~OV~
Legal description (Sub'd., Block & Lot)
Legal description (To.ship, Range & Section)
Lot Size Sq. Ft. Number of Bedrooms
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(l~] all that apply)
Absorption Field [] Ihitial [] Single Family (SF)
(w/wo ADU)
Septic Tank [] Upgrade []
Duplex (D).
Holding Tank ' [] Renewal []
Multiple Dwellings
Privy [] (SF and/or D)
Private Well [] -h~- 0 I~ ~'o
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 Municipal Cedes.
(Signature o"df'property owner or auth~,z~d agent)
Permit/Rush Fees: ~OO ~ ~'~ '"'1~-.~ iltNaiver Fees:
Date of Payment: ") ~ ~'~ !¥~ ~'~. Data'of Payment:
Receipt Number: OO ~'"'/"J ~' "' Receipt Number:
Permit No. 05~ J~ J '~)/',~,~J Waiver No.
Permit App_9-1-12.doc
MEMO
Steve Eng, PE, PH
P.O. Box 770724, Eagle River AK 99577
(907) 694-7028 tel
northrimeng@aol.com
Date: 7/23/13
Number of Pages: 2
To: MOA On-Site Services
Subject: Lake Ridge Terrace, Block 2, Lot 16A
New Well Location
Lot 16A is currently connected to the well on Lot 15A making this a Class C well. The owner of
Lot 16A desires to disconnect from the Lot 15A well and drill a new private well. Locations are
shown on the attached drawing. The proposed private well will not have any conflicts with water
or wastewater systems. We request a permit to drill the new well. RUSH PLEASE.
Please review the design for the 4 bedroom duplex. If there is need for additional infomaation or
clarification please give me a call.
Thanks-Steve
Lot 15A
/
/
SEPTIC
0
Dmlve
House
CLass C
Well
R1
Ppoposed,
Ppiva~e
Well
Water Well
(ISTING SEPTIC
Lot 16A
FIRE
LAKE
Lot 17
I%~.'. ........
ENGINEERING ,*" ..... ".. ,~
907.694.7028 ~ '~1~
LAKE RIDGE TERRACE
BLDCK 2, LDT 16A
PRDPDSED
~ELL LDCATIDN
PLAN
LAYBUT
7/23/13