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SPENARD HEIGHTS ADDITION LT 18
Spenard Heights Addn. Lot 18 #012-052-22 Permit Number: Tax Code Number: Work Type: Permit Effective Dates: Design Engineer: Subdivision: Site Legal Address: OwnerlAddmss: Site Mailing Address: On-Site Water System Permit OSP161114 01205222000 Well May 19, 2016 Initial MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 to May 19, 2017 SPENARD HEIGHTS ADDITION SPENARD HEIGHTS ADDITION LT 18 G:2026 AUSTIN CHERYL L & LAWRENCE W 3838 W 63RD AVE ANCHORAGE AK 995022007 3838 W 63RD AVE, Anchorage Lot Size in Sq Ft: 14300 Total Bedrooms: 3 This permit is for the construction of: N Disposal Field N SepticTank 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 Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections dudng 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. Special Provisions: NOTE: DUE TO THE LACK OF ALLOWABLE AREA TO PLACE THE WELL WITHOUT ENCROACHING INTO THE PUBLIC SEWER SETBACK, IT IS RECOMMENDED TO HAVE THE WELL LOCATION FLAGGED BY A LICENSED SURVEYOR. 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. O/ Property owner(s) Mailing address Site address Legal description (Sub'd., Block & Lot) 5 ?~.k¢-,--~ ¢¢,, ,~ L1L% Legal description (Township, Range & Section) Lot Size .,/-~; ~ O O Sq. Ft. Number of Bedrooms Day phone~'~O ~.~ ~-~ ©- (b o%.( ~' APPLICATION IS FOR: APPLICATION IS AN; ([~ all that apply) Absorption Field [] Initial ~ Septic Tank [] Upgrade [] Holding Tank ' [] Renewal [] Privy [] Private Well [~ Water Storage [] TYPE OF DWELLING: Single Family (SF) (w/we ADU) Duplex (D). Multiple Dwellings (SF and/or D) THIS APPLICAT. ION INCLUDES A VARIANCE / WAIVER REQUEST FOR: A///Ct Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. ~Signatur~-of propert"-~y owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Permit No. Waiver Fees: Date'of Payment: Receipt Number: Waiver No. Permit App_9-1-12.doc ~' I ss ss ..... ss-- u~ 100' SEWER ~ ~ /- 100' SEWER S~BACK ~,~/SETBACK WEST 63RD AVE. NB9° 59' 12"E 116.25 WELL BUFFER ] ~ LOT 19A ~ CS.~ SEmACK ~ X~ ~ X ~ 75' S~R MAIN ~ ~ I / SETBACK SEmACK ~ SETBACK ~ ~ ~ ~ SETBACK ~ ~ LOT 19B .... LOT E~E~ENT LINE G~ AND OTHER UTILI~ LOCATION5 ARE APPROXIMATE. ~ - ~ER LINE ~BA~K CALL 8] ~ FOR LO~TE~ PRIOR TO DRILUNG. ~ ~E~ER LINE 5EPE~TION D~ANCE~ AND ~ETBAC~ PER ~ - UNOERGR~UND ~A~ LI~E AMC ]5.55.060 TO BE VERIRED BY DRILLER WELL SITE PLAN PARCEL# 01205222000 lOB NO: 15064 SHEET NO: 013 G[ TER ANCHORAGE AREA BOROI, H DEPARTMENT OF ENVIRONMENTAL 0. UALll¥ 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPI'IC TANK: LIQUID CAPACITY NUMBER OF / ___MATERIAL ~q ~L~;~- k/-~¥"..-, COMPARTMENTS LIQUID GALLONS. INSIDE LENGTH. r. INSIDE WIDTH ~'- DEPTH. SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS ~-- OUTSIDE DIAMETER_ LINING MATERIAL~ NEAREST LOT LiNE OR WIDTH , LENGTH , DEPTH DISTANCE FROM WELL ~-"~' ~_~'~ ~ ' , BUILDING FOUNDATION TOTAl. EFFECTIVE ABSORPTION AREA (WALL AREA) ~2) (.-O ~-] SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WEL~.~/''~''~ .... -~)tJ~DATION. A~?~ON AREA__ SQ. FT. LENGTH OE~,A,C~ UNE DEPTH: TOP OF TILE TO FINISH GRADE TOTAL LENGTH / NEAREST LOT LINE OF LINES // -,,, x.~ IN. TOTA~ EFFECTIVE TRE/C'HN WIDTH ~. /' DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE__ DISTANCE FROM WATER WELL: TYPE [~ ~ ~'~' , DEPTH , BUILDING FOUNDATION._ _SAMPLE ., NEAREST NEAREST SEPTIC SEEPAGE OTHER LOT LINE ., SEWER LINE , TANK , SYSTEM , CESSPOOL , SOURCES DIAGRAM OF SYSTEM DISTANCES: DATE APPROVED G.A.A,B, GRE,,,I'ER ANCHORAGE AREA BO~-,OUGH DE:PARTME:NT OF' E:NVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 8-650 ANCHORAGE, ALASKA 99502 SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT PERMIT NO, NA"EOFAPPL,CANT MA,L,NG ALLATION Of: SEPTIC TANK ~ SEEPAGE PIt--~ _ , DRAIN FIELD COMPLETION DATE ANTICIPATED PHONE OTHER NOTE:: THIS PE:FIMIT I$ NOT VALID WITHOUT 5OIL FINAL INSPE:C. TION= 2.,~, HOUR NOTICE REQUIRE:D. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPE:CTION ElY THE: HEALTH DE:PARTME:NT AUTHORITY WILL BE: SUSIE:CT TO PROBE:t~'.,UTION, SEPTIC TANK SIZE TYPE SEEPAGE AREA SIZE MINIMUM OI~.TANCe~,~, RE:QUIIrtlrMENTS: FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT ..... SEPTIC TANK TO SEEPAGE PiT WALL __ , DRAIN FIELD SEPTIC TANK ........ SEEPAGE PIT __ TO NEAREST LOT LINE. , DRAIN FIELD WELL TO SEPTIC TANK _ . DRAIN FfELD ___ WATER MAIN TO SEPTIC TANK DRAIN FIELD ____ SEEPAGE PIT ALSO CONSIDER AREA WELLS. ~, SEEPAGE PIT .. SEPTIC TANK, ---, SEEPAGE PIT ____ TO RIVER, LAKE. STREAM. DRAIN FIELD CAST IBON INTO AND OUt OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION § FEET INTO UNDISTURBED SOIL, 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS, TYPE DIAGRAM OF' ~Y~,TE:M GRAVEL ~ACKFILL CONFORM TO BOROUGH I~EGULATIONS REGARDING INSTALLATION. I CERTIFY THAT f AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA EIOROUGH ORDINANCE NO. 2S-SS AND THAT THE ASOVE DES D ,,STEM I~ IN ACC RDANCE WITH SAID CODE.. DAT APPLICANT'S ~IGNATURE ....... GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: iiI Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR V.A. Spokane Mortgage November 12, 1976 3201 C Street Phone: William H. & Marian E. Lampert Phone: 3838 West 63 Avenue 277-0543 277-8588 3. Legal Description: Lot 18 Spenard Heights 4. Location: 5. Type of facility to be inspected Single Family 6. Well Data: Community System A. Type C. Construction 7. Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: Distances: No.. of bedrooms B. Depth D. Bacterial Analysis Public 1. Size 1. Absorption Area Total length of lines B. Installer 2. Manufacturer 2. Material A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area , Other contamination C. Absorption area to nearest lot line__ , Absorption area , Sewer Lines EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re~. st for Approval of Individual I ar & Water Facilities Legal Description Lot 18 Spenard Heights Subdivision Comments Approved Disapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74)