HomeMy WebLinkAboutHILLCREST BLK 6 LT 2
Rick Mystrom,
Mayor
Munic pa]l of Anchoret
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska99519-6650
http www c~ anchorage ak us
343-4744
December 21, 1998
Jake L Neves
1235 Contrary Court
Anchorage, Alaska 99515
Subject: Lot 2 Block 6 Hillcrest Subdivision
Permit #SW970404, PID #016-271-38
The subject permit, issued November 24,1997 by this office for a
single family well and/or on-site wastewater system, has
expired as of November 24, 1998.
A new permit must be obtained from this office for a well
and/or on-site ~¢astewater syste~n 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. Ail 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 y0~have any questions, please call this office at 343-4744.
Sincf~lY,
~rogram Manager
On-site Services
enc: Copy of Permit
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:SW970404
DESIGN ENGINEER:DUMMY COMPANY
OWNER NAME:NEVES JAKE L
OWNER ADDRESS:1235 CONTRARY CT
ANCHORAGE, ALASKA 99515
DATE ISSUED:il/24/97
EXPIRATION DATE:il/24/98
PARCEL ID:01627138
LEGAL DESCRIPTION:
HILLCREST BLK 6 LT
LOT SIZE: 8400 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
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:
RECEIVED BY: ~~ ~
ISSUED BY: ~if ~,
DATE:
LC~T ~
0
o
PLOT PLAN ~ AS BUILT V. SCALE
GRID 'z. 457. Project No. ¢27.."64.,a
I Hereby certify that I have surveyed the following described property:
Lot Z ,Block G, .... ~.~L,C,TO~c,:JT ~(4¢~DI'J\G~aN
~L~Jc~o¢..~ Recording District, Alaska, and that the improvements situated
thereon are within the property lines and do not encroach onto thc property
adjacent thereto, that no improvements on the property lying adjacent thereto
encroach on the surveyed premises and that there are no roadways, transmission
lines or other visible easements on said property except as indicated hereon.
Dated axis the I_~ Day of ~c~q~,~.- , 19 ~, at Anchorage, Alaska
1731 George Bell Circle
Anchorage, Alaska 99515 (907) 345-6476
it is thc responsibility of axe owner to determine the existence of any easements,
covenants, or restrictions which do not appear on thc recorded subdivision plat.
GE 'ER ANCHORAGE ARI:A BOROt I
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME -~--'-~"'///"J' ~ ' ~---''7-'~-'';'TZzc'/~/?/---2-;'l'/ ADDRESS ~__~-/~__-'~'.,~'~"~-','~-~' PHONE
LOCATION~~~~,,~x/~'~'-'''2~'~ _~'~r/~.___~'~',.~AL DESCR pT ON ~-~ ~ ~-
. - / ~ / NUMBER OF
DISTANCE FROM WELl ...... ~,~2/~_ ~__~MATERIA[ ~'~/~/~/~-z COMPARTMENTS_ /
LIQUID CAPACIEY /~ .... GALLONS. INSIDE LENGTH ¢~ INSIDE WID[H ~- DEPrH~
SEEPAGE SYSTEM:
SEEPAGE PIT:
NUMBER OF PITS___ ~OU"]"SJ'DEd~ER-- FR~ O'"'~ _~TEEEI~WIDTH
LINING MATERIAL . DISTANCE
NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) __
, LENGTH , DEPTH
BUILDING FOUNDATION
SQ. FT.
TILE DRAIN FIELD:
D,STANCE :ROM WELL
NUMBER OF UNES
ABSORPtLO . ,,
DISTANCE BEIWEEN LINES_____1
SQ. FT. LENGTH Of: EACH LINE
, NEARES[ LOT LINE
TRENCtf WIDTH
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
DEPTH: ToP OF fiLE TO FINISH GRADE
DEPTH OF FILTER MATERb'".I. BI:NEATH TILE
IN, ABOVE TILE
WELL:
LOT LINE
J-"~- -/~"~t ~ '""~"/'~ c'"~ -' DISTANCE FROM x'''~¢'' ''''~''~; WATER
TYPE ..~t..~-~....~-_~-~.~::-~:-' DEPTH_L'~''-?'~z~ , BUILDING FOUNDATION _j..o -'...'~
$ NEAREST ~/~"~' SEPTIC SEEPAGE . OTHER ~>, ..'
.~- -~- , SEWER LINE /t"P C,'/- , TANK .X.,//~ , SYSTEM ./~/'/.~/~_ , CESSPOOL.,.X-/z~'~
DIAGRAM OF fiYStEM
IdX~'''
GREAt'ER ANCHORAGE: AREA BOROUGH
//
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. ~
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE. ALASKA 99502
TELEPHONE 279-8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AUD PER~IT
NAME OF APPL[CA"T MAILING ADD.ESS . q/ PHONE
INSTALLATION OF: S ~ , DRAIN PIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED ' ~ ~ ~ ~ "~
SOIL TEST RESULTS NOTE: THIS PERMIT I~ NOT VALID WITHOUT SOIL TE~T
COMPLETION DATE ANT]CIPATED
FINAL INSPECTION~ 24 HOUR NOTICl-' REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INBPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE E
MINIMUM DISTANCES, REQUIREMENTB
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT
DRAIN FIELD
SEPT]C TANK TO SEEPAGE PIT WALL
SEPTIC TANK __ /~ ,SEEPAGE Pit
TO NEAREST LOT LINE. /
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
· DRAIN FIELD
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
SEEPAGE PET
SEPTIC TANK, ., SEEPAGE PIT
TO River. LAKE, STREAM.
, DRAIN FIELD
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
~THORITY OR
LICENSED DESIGNER
DIAGRAM OF" SYSTEM
I CERTIFY THAT ] AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE APPLICANT'S
61/.9
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