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HomeMy WebLinkAboutLEOS LT 16eo's ta, 7 1 (v st*p rnw��"o5�-d53-�8- o00 Townsend, Curtis L. Subject: Leos Lot 16 well This well location was researched in support of OSP231055: LAKE HILL ACRES LT 1 From: Brent Western <firstwaterak@gmail.com> Sent: Tuesday, April 25, 2023 12:40 PM To: Townsend, Curtis L. <Curtis.Townsend@anchorageak.gov> Please excuse brevity and typos - on the run, sent via iPhone - Thanks, Brent 1 4. MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Oct 17, 2003 Expiration Date: Oct 16, 2004 Permit Number: SWO30444 Parcel ID: 051-053-28 Legal Description: Leo's Subdivision Lot 16 Design Engineer: 0000 None Required Site Address: 24327 Sheldon Leo's Road Owner Name: Finis L. Sheldon Lot Size: 10185 SQ. FT. Owner Address: P.O. Box 671087 Total Bedrooms: 4 Permit Bedrooms: 4 Chugiak , AK 99567 - This permit is for the construction of: L-] Disposal Field 0 Septic Tank Holding Tank D Privy[]✓ Private Well 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 ). g 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 By: 71 Date:�� Issued By: (�JG� 1 ZXZ. tO, Date: 10-17-03 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program S A FE T Y' 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEW FERMI PPLICATION FOR A SINGLE FAMILY DWELLING /'T/G Parcel I.D. 6 S/ Oso "Z Permit Number SW 0 3 O Y- Y- I/ ex 2 60 Property owner(s) Day phone Mailing address (1) Mailing address (2)_« ��lSZip Code Legal description (Lot, Block & Sub'd.) T /x—,17 „rPa 'f 3�? Legal description (Section, Township & Range) 70 Y Lot Size ° X �s_Acres/Sq.Ft. Number of Bedrooms ./- - lo, 1$1 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only �'- 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. (Signaty;4'of property"01"wner or authorized agent) Permit Fees:v Waiver Fees: I— I Date of Payment: /0% (, J Date of Payment: Receipt Number: :� _ Receipt Number: (Rev. 12/00) N 8 14 ft.. N 8 MUNICIPALITY OF ANCHORAGE p DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 2.64.4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAMEPH I F" i r �j _ ❑ 1� ONE NEW j���KE �6„ 6(�q^�0��UPGRADE MAILING ADDRESS ShSOX IZO Cl-tt -1AK AV LEGAL DESCRIPTION , j� •, Sc.Q D . �V LOCATION _ NO. OF BEDROOMS (DISTANCE Absorption area Dwelling PERMIT NO. U Y TO: Call Z a. Manufacturer e' XI5Y/ _ Material No. of compartments �� Liq. capacity in gallons IF HOMEMADE: Inside length Width liquid depth DISTANCE TO: Well Dwelling PERMIT NO. j f7Z O Z Q O ' F— _ Manufacturer - _ Material Liquid capacity in gallons O w DISTANCE TO: Well . f- Q(� e-- Foundation Nearest lot )W4— PE I - T u z No, of lines 7`-- Len of ea h line Total len liryes Trenc 2 w gtt .L. -Q width inches w . Distan a etee lin s f' Fes. O Top of tile to fini ,h�rade/ i Material eneath the �� z O hes Total effecti ab or _tion area -'.-�- -� Length Width Depth PERMIT NO. L LF- a Type of crib Crib dia - r� ftib,ifei Total effective absorption area (f �C/ N DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. J W DISTA CE O: u Id ny tfn lation Sewer line Septic tank Absorption area(s) OTHER �- PIPE MATERIALSPJ -. dv ,0 SOIL TEST RATING toL� INSTALLER "r REMARKS .. A010 ' L p �nC9• R,bcrt A. Shafer r� p nn IJ l� :�fn ye APPR VED DA�/// � Z� � k) L A 72-013 11ev. 3/78) 1 t* -1 kJ r-4 I C -l" I FF-f L_ I -r kO 0 F::-" F:1 r -J o::: " 0 Fes. iR CD I=— DEPARTMENT ­ HEALTH AND ENVIRONMENTAL "ROTECTION 825 -%... STREET, ANCHORAGE.. AK. PAL 264-4720 F=oF=F-_urwll'-r PERMIT NO. < 800204 APPLICANT JEFF GREGO SR BOX 121.7 CHUGIRK 688-9079 LOCATION PETERS CREEK LEGAL :LOT 1".17 LEO SUB LOT SIZE 20300 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SO FT/BR)= 210 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: jL0 THE LENGTH DIMENSION 15 THE LENGTH rI FEET) OF THE TRENCH OR DRA INFIELD. THE DEPTH OF A TRENCH OR, PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). Fes' EEGAUI I '_S-F_=F`r I t--- -rnP4Fes: !=—. I :-EE: = � PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. 1 CDlr-4:R.' fq E: e - L-1 1 F" F r-, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BET14EEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM Is 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F="FERMI-F U-4E:l::"E:UqlP-E'F." :a -:Lo :1_.*D C-4 PEI I CERTIFY THAT I.: I AN FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. - I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE E NLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. I GNED: 22U �Lll&CR9 JE GREGG ISSUED BY V4. 0 GREATER ANCHORAGE AREA BOROUGH Department of Environmental QualityGRNATER ANCHORAGE AREA BORO1I^H 3500 Tudor Road — Pouch 6-650 WEALTH DEPARTMENT; 955 Anchorage, Alaska 99502 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279.25111 _ INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ,_� �� /�- /<GC�>?� MAILING C-JtL/G- /1'-� , NAME ADDRESS �%�� � � PHONE_— LOCATION ��E-3/�i�� /`f�`�c� LEGAL DESCRIPTIONa��SEPTIC TANK: TANK: ' C- ������ NUMBER OF DISTANCE FROM WELL �� MATERIAL L'l `'mss COMPARTMENTS LIQUID LIQUID CAPACITY —GALLONS. INSIDE LENGTH -INSIDE WIDTH—. DEPTH. SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS —OUTSIDE DIAMETER `' OR WIDTH LENGTH , DEPTH. LINING MATERIAL l G- C-'� £`//SI=G DISTANCE FROM WELL BUILDING FOUNDATION NEAREST LOT LINE 7 C TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELI NUMBER OF LINES F CE BETWEEN LINES NEAREST LOT LINE TRENCH WIDTH TOTAL LENGTH OF LINES_ v .r EFFECTIVE ABSORPTION ARE SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE_— WELL:DISTANCE FROM ✓ WATER /�n�/� TYPE/�iG� DEPTH <-�/l' BUILDING FOUNDATION. �� SAMPLE NEAREST NEAREST SEPTIC- SEEPAGE i OTHER LOT LINE SEWER LINE /�D 7_, TANK) �SYSTEM %L-6L'—CESSPOOL �' SOURCES_ - DIAGRAM OF SYSTEM DISTANCES: T/i.✓/G T�- .moi%.= N, -gyp 1 yid _ DATE ,% ��� APPROVED.�HIEALTH AUTHORITY � 2 GREATER _.iNCHORAGE AREA L )ROUGH Case No. �I HEALTH DEPARTMENT f 327 Eagle St. Anchorage, Alaska 99501 279.2511 J,t�j� A V"Z'TE_ AGE DISPOSAL SYSTEM - APPLICATION & PERMITKID U --p sr. 4'r- 1/ _ NAME OF APPLICANT• 424LC 6L to),E42504-0 MAILING ADDRESS_ V�f � `-"1`,9t)KPHONE NO '! RESIDENCE ADDRESS LOCATION 01: INSTALLATION 1iF �v LEGAL DESCRIPTION ' S -�` ✓-i� 7 - APPLICATION TO INSTALL: SEPTIC TANK SEEPAGE PIT DRAIN FIELD_,.__, OTHER TO SERVE THE FOLLOWING FACILITY_ FINANCED THROUGH TO BE INSTALLED BY t- r- yf ANTICIPATED DATE OF COMPLETION_ /Y71%� �� T „PERCOLATION TEST RESULTS '--� BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS DISTANCES: ,PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED SEPTIC TANK SIZE_ 7 " 1-7 Health Authority l� r'= TYPE SEEPAGE AREA -- DIAGRAM OF SYSTEM TYPE I certify that I 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 r APPLICANTS SIGNATURE MUNICIPALITY OF ANCHORAGE ( V rAvj DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 44 IV Pouch 6650, Anchorage, Alaska 99602 276-22 SOIL O S G PERCOLATION TEST KSOILS LOG ❑ PERCOLATION TEST LQ.— C° C? 11 7�e DATE PERFORMED: 5 � ! A/ 'q ,16 7- /7 ? 5XI_ 77- �jf 1 { SLOPE I _-1 e I 3 a 4 6 0 y 7 4 CGl� GQ� 8 p� ` 9- 12 12 1 13 14 1 15 16 17 18 19 6 U R N,l0 Z/ © p/per WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT p DEPTH? 00 Robed A. S:ICIt n'. r No 14574 SITE PLAN Reading Date Gross Time PERFORMED FOR:_ Depth to Water Net Drop LEGAL DESCRIPTION 'L D T KSOILS LOG ❑ PERCOLATION TEST LQ.— C° C? 11 7�e DATE PERFORMED: 5 � ! A/ 'q ,16 7- /7 ? 5XI_ 77- �jf 1 { SLOPE I _-1 e I 3 a 4 6 0 y 7 4 CGl� GQ� 8 p� ` 9- 12 12 1 13 14 1 15 16 17 18 19 6 U R N,l0 Z/ © p/per WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT p DEPTH? 00 Robed A. S:ICIt n'. r No 14574 SITE PLAN Reading Date Gross Time Net Time Depth to Water Net Drop /0;/0 fo Mw /o, Z-0 rvg,ov /0',30 /11MN 20 PERCOLATION RATE 0 (minutes/i � �' I /TEST RUN BETWEEN FT AND FT COMMENTS S�%!fie ��d1G f is �v^t/t 0"tj PERFORMED BY: yJ � Af/uv"!f el� CERTIFIED BY: 72-008 (7/76) DATE: e 1 r; D 5. LEGAL DESCRIPTION DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE - DATE 6. TYPE OF RESIDENCE J �1 tu -'-�- INSPECTOR INSPECTOR INSPECTOR ❑ MULTIPLE FAMILY ❑ Three ❑ Six GG s -B" INDIVIDUAL* li . LIC�%lC9'1�.. ❑ COMMUNITY MUNICIPALITY OF ANC140RAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEcTIop�� DEPT. OF H`ALTH & kNVIRONMENIAL 'Ff"OTECTION 825 L Street - Anchorage, Alaska 99501 • JL!I� 1980 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACiL"ITIES� DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (1.0) days for processing. 1. PROPERTYOWNER PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) t PPil ONE, yvi 'C.. ,[ } -7 2. BUYER /'— - PHONE r i` QS opt/ e k— Pere/ MAI LING ADDRESS - - - 3. LENDING INSTITUTION ��A�Fz PHONE �/ '41'4s'lzrQ /fvv.S0-% //r r��t ire �a /Q nE 7� 6-;??? -S % L Z MAILING ADDRESS 4. REALTOR/AGENT PHONE �liL�dl/!-s MAI LING ADDRESS 5. LEGAL DESCRIPTION Z-0 / t /7 STREET LOCATION - - - - 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS E�� SINGLE FAMILY ❑ One Cf— Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY s -B" INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) /70 8. SEWAGE DISPOSAL SYSTEM -❑- INDIVIDUAL/ON-SITE** _/ 6 F� _YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) - 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS E�`APPROVED FOR BEDROOMS i ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY _ 72-010 (Rev. 6/79) I i LE00S SUBDIV`15-1�40N0 LOCATED ON THE- GLENN HIGHWAY AT MILE Z3.5 WITHIN NI/2NE-1/45W'/4 NEI/4SEC. 3j.7I5N-R,,lV4 S.M.ALASKA SUMV&-you Dot W' xv: AUG-4j195Z SC AL E- 1"—'l 0 0 llm�ok. itcale'r 0 All suliv oft NN e7, I 70Z- F I ) 8, 9 10 11 1 13 14,-b 4,0; D 5- 59=,5-5-10-W LOT CORS. ARE SPRUCE HuBs vvi-rH r4AIL E-xcE-p-r AS SHOWN /`J to 140 8 4- 3 •. 70.1 -70 5- 59=,5-5-10-W LOT CORS. ARE SPRUCE HuBs vvi-rH r4AIL E-xcE-p-r AS SHOWN /`J to