HomeMy WebLinkAboutT15N R1W SEC 9 LT 4 REMT15N R1W
SEC 9
Lot 4 REM
#051-102-01
Sep -23-2005 10:35am From-MallBoxes,Etc.e2206
OWNER OF
ADDRESS:
LEGAL DC
Lei �!
+007-686-3287
7-121 P.001/001 F-084
Qtcrtittcb fit titling log
by
Doc co.dw
SULLIVAN WATER WELLS
P.O. BOX 670272, CI•AIGIAK, ALASKA 99567 • -- .
Q. -r_ 1
s.., Q-r•r..r . Baca
DIM in t / 09
PERMIT NUMBGRO4Io4al Daae oflssue.J.A.-r -t1
TAX IDENWICJMOI9 NUMBER On /o a- O 1
Is well located 4 approved penal l lmron? t.SAC
Method of 6ad�rotary Li cable tool
a•
Depth ofwelt
0 N
Casing Type IT i EGe,VUallThickness r aro
Diameter 61 WPCS. depth 894.
Liner Typa a a,ta
Cling Stickup
Static Water
Recover Rate
Method of TesJincy
Wen Intake
.s Screener
Q Perforabans
Grout Type:
Depth Iran
vVdt
Method of
Comments
Giant eZ
/4 a.
C gpm
41Q
feet
feet
Type: Sa'�pen end 0 open tote
Shat feet Stopped feet
Start
sr� child
feet
Wane L boed
feet. to dtD
Upon GompleGon? 4? C 0 No
G Nct'<...tir: St ft' I
BORE
Hole DIOX
DOTH.
ham s,
0
d
a
OTENllort It
f Anchorages
7rrartrnent of
4
rss
F3
c.tr..v6 Proci<J
09 %YEiti3:49.0ErJ
fis944ph,J
S/6 t S4ai0 6.er4-✓aa.
Cr- ire MIX
Sof-3 0 mars - 4E4.. � u*frEn
Oilres'$ t bine l.L�•1-•Q
the responsibility of the property owner to subma a copy of the well log to the proper authority. Municipality
t of Health & Human Services andfor Departrnent of Environmental Conservation. MatSu Sorouglr
ental Conservation.
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
Permit Number: SW040421
Legal Description: T15N R1 W SEC 9 LT 4 REM
Design Engineer: 0000 Norte Required
Owner Name: CLOVIS & HARRIET ROBERTS
Owner Address: 20707 OBERG ROAD
EAGLE RIVER , AK 99577-0000
Date Issued: Oct 08, 2004
Expiration Date: Oct 08, 2005
Parcel ID: 051-102-01
Site Address: 020707 OBERG RD
Lot Size: 86641 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ 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 ).
3. 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: f---1 t i Date: /yr /feY
Issued By
Date: l070 y
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. OS/402-0/
Permit Number SW
Property owner(s)C/5l/es q/ 4/1-i s'i' - Day phone67F z «r
Mailing address 2. D i o i 4 Q/'� Apo. d Zip Code / 7C -C
� c? �,.>. QI't �! /"a 00' Zip Code 7Yro"
Site address / 0�/ �Q
Legal description (Lot, Block & Sub'd.) %-/'Z yT ` T' tQ y /�/t� 5'4° C 7 / d 657/ �,
Legal description (Section, Township & Range) Ti- >1 !` zi-i-eJ v' 4 C I Lo t
Lot Size &C. Crgi Acres/Sq.Ft. Number of Bedrooms S
i
THIS APPLICATION IS FOR:
Sewer Only 0 Well Only
Sewer and Well 0 Water Storage
Sewer Upgrade 0
THIS PROPERTY CONTAINS:
Hot Tub 0 Jacuzzi
Swimming Pool 0 Water Softening Unit
Therapy Pool 0
g
0
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.
-t7
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
11C
Waiver Fees:
/0- C- 09' Date of Payment:
Receipt Number: J ei 1 3 Lo Receipt Number:
(Rev. 09104)
-261) Lane
1.11 9
330.13 UL4
10•NI4 (scat
13S
O V. Rusin 0.04. Ryury
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JD
T 195 00
4
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0
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NEST gI O'er
I i
Ii +
•
I /Sy . *b1 4
EAST 330.42 67-16
115.19
S89'5S'00"N 660.06 (78-50)
1Y (4/ Hi /1
, 45-
'7'07.' apt? orc/'ie(!,.t
39.29
239.29 Stote ,
78—B-1
0
0
.1
78A
O
N
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nl
Pot No 1183693
` V
__trc la tt:l_��4
_0(7. 300 37
.25 Slots (Tiros Ave)
659'59'30'( 330.373 (6M 7-163)
B330.37 (77-258)
300
S69 59•]04
261.93 Slots
Q�
•
e ytete 61 9'. 316
9011. •0 99
i
•
•
11120611001 1320.66 StIl
Slot
221.10 ULU
419.37 Slots
DESCRIPTION
GREAT LR ANCHORAGE AREA BOR(, aH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT «O' N-SITESEWAGE DISPOSAL SYSTEM
NAME /74(1C //d5�MAILING ADDRESS Qac/ y, se PHONE erg"
LOCATION EGAL DESCRIPTION aSrr9 isv _a/m)
� 7
SEPTIC TANK:
DISTANCE ` NUMBEROOFM
FROM WELL MANUFACTURER.7uNt{�✓ y'�C� MATERIALF9�a' /75 COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /a GALLONS.
SEEPAGE PIT: y�,�'
NUMBER OF PITS •� DIAMETER OR WIDTH LENGTH SIC' DEPTH / 0
/
LINING MATERIAL ��/7A " 't C 'E: DIAMETER DEPTH h DISTANCE FROM: WELL / CP -0
TOTAL EFFECTIVE
BUILDING FOUNDATION NEAREST LOT LINE ABSORPTION AREA (WALL AREA) SQ FT
ADDITIONAL ABSORPTION
WELL:
TYPE CONSTRUCTION DEPTH
DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION LOT LINE SEWER LINE TANK SYSTEM
CESSPOOL _ OTHER SOURCES
APPROVED DISAPPROVED
REMARKS
DISTANCES DIAGRAM OF SYSTEM
INSTALLED BY•
PIPE MATERIAL:
LOT SLOPE:
REMARKS:
DATE/0 ` Y ` 24? APPROVE
101 kJ r4 u=”ti L_ 1-8-#J1 kJ IF' �IE-4111--11-110Et
DEPARTMENT OF THLTH AND ENVIRONMENTAL P�CTION
825 'L' sTREET/ ANCHORAGE/ W. 9950-
2.79-2511
c- I: 1- ra: :54EA,DEA -r*
PERMIT NO. ( 77869 )
APPLICANT WALTER MHSiYK
LOCATION OBERG RD.
LEGAL LOT 4 SEC 9 415N
P.11 BOX
LOT SIZE
688-2617
43500 SQUARE FEET
TYPE OF SOIL H8S0RBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SO FT/BR)= 190
lHE REQUIRED SIZE' 'IF THE SOIL ABSORPTION SYSTEM IS:
IF":" 11-11= ��������
�
������ ����� =
�� .�
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFTELD.
THE DEPTH or H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE B8TTOM 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).
����I: _ 1/5; !EA' I- 11‹: �1_1C:11E2in:7i FP 8 - II ���
��2._::KA-lg.:31F F" IL. FA r4 IJ IC) r4 '~�__~
H PACKAGE PLANT MAY BE INSTALLED AT THE PERMITTEE/S OPTION SUBJECT TO THE
FOLLOWING C[)NDIllINS:
lEITH�R H CLASS I OR 7I NSF APPROVED PLANT MHY BE INSTALLED.
H CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED. IF H MAINTENANCE
AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL
H8�URPT]ON SYSTEM HND/OR YOU MAY BE SUBJECT TO PROSECUTION.
��... ��.... . .. ... .....����
1-11.4 > r-.15EA=9sE: x 1(-1 IN.:, k9=. kn= n2,41 Bui I FAI=1.DI
BHCKFlLLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEAH4aIlDfl WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM lS
100 FEET FOR H PRIVATE WELL OR 200 FEET FOR H PUBLIC WELL
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
HY8ILH8LE TO INSURE PROPER INSTHLLHTIAL
��kn"11 I ... X In" �11.....A=1"111Egla ���
I CERTIFY THAT
1: I HM FAMILIAR WITH THE REQUIREMENTS FOR DN -SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: l WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
] I UNDERSTAND THHT THE ON~SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
� ��°�.
RESIDENCE IS REMODELED TO INCLUDE MORE THAN "T BEDROOMS ' /
/,� ��m ��
7ril` Ai � o
� _
{ I J"��
�� �� �^�- "� '
at
������-��-�� r-7 � V]�ur
/ / -
SIGNED: ���-_
HPPL.I-ANT WALTER MHSLIK
0 Ft E GEO. _CHNICAL 8- DEVEL.,?MENT CO.
Russell Oyster
694-2774
Soils Et Foundations
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
SOIL LOG
Earl Ellis
686-2280
Land Development
Performed for: Name: W/) L ✓ F /'. ,41/J �/C Tel. No.
Mailing Address: It's e, to,vu6/,ge, /h cy-S '7
Legal Description: /{'r it 52o, , 7, /y , ,('/ y,�
Depth (feet)
0
1
3
4
5
Soil Characteristics
/L-✓` / O/' O7C
Cir,
7_
8_
9_
11
12
13
14
15
5-9N»7C,/44/ti; .4A/o,
//50
i ; /(r , k i✓J,C
e--;/11 .?its-/ 67:C 7/'-E, %4'/7c - (f):"../fr'
cier4,e s $7-4 Oc/ezk:oJ 7G' Lr
/n. t =,lsr — J _
G ,oT 2:4,1 4 `1/l"
16
71-4;h?.'7:
J%
:7.4. /FSI v " ;t1
Ground Water Encountered: Yes No ✓ If yes, what depth
Proposed Installation: Seepage Pit Drain Field
Comments:
Performed by:
;G/fi Date: " 17 %
°rya
it d... Y,b;f1;I AT f'CJ•/-�e /9• en..e•
rt s R. 1 co 3 —12 9 1.,6-1- At DATE 70 ^
4 SUBJECT (,{J a Zi/, "Ab % 7
a n /
f ,c,, waittT ei e. -Ci x)
1-1746 �.Ceaaa1 (gyp ,�,,:�-�-�. &la, Citrizi-cco-ulol
c)....,
t .a- (6LA.t.. I C..) A-#.4 GL_44
« 1t&
Arid kne,A1 19.0- tAl
atica, - -
AUPLICATE
SIGNED
DATE
R.difprm
45 469
Poly Pak l50 un14P469 _
SIGNED
'
SEND PARTS I AND 3 WITH CARBON INTACT -
PART 3 WILL BE RETURNED WITH REPLY
DETACH AND FILE FOR FOLLOW-UP
9
' fi
a, 'eh
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•
nPts
,� 1a
..r•
"2o MUNI IPALITY OF ANCHORAGE FA1049 &DM
DEPARTMEi' )F HEALTH AND ENVIRONMENT PROTECTION
825 L Street, Anchorage, Alaska 99501
279-2511, ext. 224 or 225
Date Received:
June29, 1977
#2: Time J/ Alam #3: Time
Date J/)-LZ Date
Insp /1CL Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
LOLL/ 1 LL .L..t Plo LDS PCtS4,01 _
Lending Institution Request:
Mailing Address: Phone:
2. Property Owner: Walter and Helen D. Maslyk Phone: 688-2617
Mailing Address: Post Office Box 6 99567
3. Legal Description: T15N R1W Section 9 Lot 4
4: Single Family Residence: (x)
Multiple Family Residence: ( )
Number of Bedrooms: three
Number of Bedrooms:
5. Well System: Individual Well (x* Community/Public System ( )
Permit # Depth of Well 150' Well Log on File ( )
Construction Bacterial Analysis
6. Sewage Disposal System: On-site System (x4 Public Utility ( )
Permit # Installed 1965? Installer
Septic Tank Size Manufacturer
Absorption Area Soils Rate Material
Distances: Well to Septic Tank to Absorption Area
to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line
/gTift'S'
Municipality of Anchorage
1WII:Nni• • EnOgifftr.77atection
Anchorage, Alaska 99501
825,A4:004WPM;w)imioN
REQUES-PFUWIVAL OF
sHc) INDIVIDUALR , MIER FACILITIES
1. Type of Inspection: CMRO VACONV V.
FHA
2. PropertyOwner: M AO LYK WALTER:. d 460E4 ).
• Ak
Mailing Address:;kosolc4, cAuritmaLL. •
Name of Buyer:
Mailing Address: Day Phone
4. Name of Lending Institution:
1‘,1UNICIPlq
DITT. (••
:JUN
Mailing Address: Phone
• 5. Name of Realtor or Agent: cot.6ett) RickAteD A14714 0 44
Mailing Address: p Clog 2049 €4414, Phone 14•01 grata
twat
6. Legal Description: 7-%54 eAsiv seem Lo'r4
Location: TUTS 1st Ptt fitT10t$ 44104 418m4940 troto4
AS) FOLLOW flaa'rntt ALO AD OW Wig LA fknov CAM%) 14t441 RIWPIC
• •-rdowlit4.9 AatNeeMbel. asati-nts AMINE in punt P4Pirnir. otot.164. .
• 7. Type of Facility to be inspected: WIMA./$11Pric. No. Bdrms. 3 •
Water Supply
Type of Supply: • Public Utility Individual )( •
If Individual, number of dwellings. presently served 1
• If Individual, depth of well ire'
•Sewage Disposal -System
Type .of System: Public Utility Individual (on-site)
__If Individual, date of installation
Oure PLEAsE, coancer tat. 31—YK Math
an, brook NUPiEcart of ItitAMC
Fuge Two
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: T12N R1W Section 9 Lot 4
Comments:
Affadavit Attached:
Approved:
Disapproved:
Department Worksheet:
Letter Attached: ( )
Date:
Date:
`6 r tr"7")
z-7 7
July 8, 1977
Mr. Dick Anthony
Post office Box 249
Eagle River, Alaska 99577
Subject: Walter and Helen D.
Maslyk
T15M R1W Section 9Lot4
Dear Mr. Anthony:
Please be advised that the existing sewer syttem (cesspool)
located on the subject property is not a Municipal approved
disposal system.
Before this department can approve your request, the
installation of a new disposal system will be required.
To design a quate a
tost must bes condbabed int the area hat dofethe eproposed soils
new
seepage area.
Specifications of the construction are avail:Abe upon
issuance of a permit. Also, the existing well casing must
be extended twelve (12) inches above ground level and coated
with a sanitary seal approved by this department and the
pit filled with earth.
If there are any further questions, please contact this office
at 279-2511, extension 224 or 225.
Sincerely,
Jbhn Kennedy
Principal Enforcement Officer
JK/ljh
cc; Walter/Helen D. Maslyk