HomeMy WebLinkAboutPREUSS #2 BLK 4 LT 2
Rick Mystrom,
Mayor
Mtm c[paHty of AXXchora e
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
November 19, 1997
Gary Kontul
10900 Kas~lof Boulevard
Anchorage, Alaska 99516 1217
Subject: Lot 2 Block 4 Preuss Subdivision #2
Permit #SW960366, PID #050'571-47
The subject permit, issued November 19, 1996 by this office for a
.single family well and/or on-site wastewater system, has
expired as of November 19, 1997.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If
~ou have any questions, please call this office at 343-4744.
erely,
es Cross, P.E.
Program Manager
On-site Services
enc: Copy of Permit
cc: Eagle River Engineering Services
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW960366
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAME:FROEHLICH HERTHA M
OWNER ADDRESS:10227 EAGLE RIVER LN
EAGLE RIVER, ALASKA 99577
DATE ISSUED:il/19/96
EXPIRATION DATE:il/19/97
PARCEL ID:05057147
LEGAL DESCRIPTION:
PREUSS #2 BLK 4 LT
LOT SIZE: 22620 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONSTRUCTION OF:
WELL SYSTEM
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 DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
R ,OEIVED BY:
i ANT
I,I L[]T 7
I LDCATIDN"
EPTIC
I
~1 ~1 $0~-----
A - SEWER STUB (AS PER AWWU)
· - MANHOLE
] .... o - SEWER CLEANOUT
~ - WELL
NOTg: NO S'Ii'ABLIgS OR LIYES?OCI( ENCLOSURES EASEMENT
WITHIN 200' OF PROPOSED WELL SITE. ~ - SEWER MAIN
WELL/SEWER SITE PLAN _.-~-~'?'-"~'OF
L£GAL: PR~USS #2 LOT 2, B[_K 4
OWNER: KONTUL ~...
CONTRACTOR:
N/A
3oB# ~e-o~^ID~':~ ~/~/~c~ sc~c~- ~" = 4o'
! EAGLE RIVER ENG£AfEERI1VG SERVICES
~ P.O. Box 773294
~ EAGLE RIVER, AK. 99577
(907) 694-5195 FAX: (907) 694-3297 ///~r/~¢
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
'" DIVISION OF MINING & WATER MGMT
LOCATION OF WELL WATER WELL RECORD
BOROUGH SUBDIVISION LOT SECTION QTRS I SECTION TOWNSHIP RANGE
WELL OWNER:
,'/ / !
DEPTHS MEASURED FROM~. cas ag top ~--~ground surface WELL DEPTH: DATE OF COMPL~ION.
--' Depth of hole~ ft
~O~EHOLE DATA: Depth De,tn of casin~:~
Material Type and Color From To .... ~ ..
-- ~ ~ ~ .. ~-~ ft below~ ~op of casing ~ ground sudace
/ -'
.~ USE OF WELL: ~ domestic ~ irrigation ~ monitor
--' //
,] CASING STICK-UP: ~ ft
WELL INTAKE OPENING TYPE: ~open end ~ screened
~ '~ SCREEN TYPE: Diem: in.
' ~ '' ~ ~ ,/ _~_ SIo,/Mesh Size: Length: ft
/ ~used.
~ ~, '~ Oepth to top:
PUMPING L~EL AND YIELD:
~ ~ ft after
_ . hfs pumping ~ gpm
r PUMP INTAKE DEPTH: ft Horsepower:
CONTRACTOR
,: , ~REMARKS:
R'e-gist'_~d BusinEss [~ame - .~ - - t~ ·
Signa~ur6 8f Authorized Respdes6nt&~ ' ~ ~[e ' - / /DIVISI~N~F ~ININ6 & WAT~ MGMT
~" 36ul C ~t, Suite
ANCHO~GE AK 9~503-5935
Phone (907}269-8629. Fax fgnT~9_~