HomeMy WebLinkAboutW G PIPPEL BLK 2 LT 10
MUNICIPALITY OF ANCHORAGE
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WATER & WASTEWATER UTILITY
3000 ARCTIC BLVD.
PHONE: (907)564-2762
WATER
CONNECTPERMIT 99-9981
DATE OF APPLICATION
SCHEDULED COMPLETION DATE
07/02/1999
iFaRfIfBI�I'1•
BLOCKILOTITRACT
BLK 2 LT 10
[X]
SINGLE FAMILY
SUBDIVISION
W G PIPPEL
❑
MULTI -DWELLING No. APTS
On Property Only
PS 99-086
J
COMMERCIAL
TAX CODE 5010113 GRID ERNW02 AS -BUILT
STREET ADDRESS 12333 CENTER ST
OWNER WILLIAMS JEFFREY D & MARY N D
MAIL ADDRESS PO BOX 774396 EAGLE RIVER, AK 99577
PHONE
CONTRACTOR rn,EIS
ASSESSMENTS
-'i Repair Existing Service
AXI Main Line Extension
On Property Only
City Tap
Have Been Levied
Hydrant Only
50' or Longer
n To ee Levied
-- Main Tap -To Property Line Only
Comments:
XI Main Tap & On Property Connect
Row No.
Disconnect
R & R -Main Tap Only
Owner Staff
CONNECT SIZE A( A "
ISSUED spew
INSPECTION FEE $
0.00
IE CASH
PERMITFEE $
0.00
_
r-
HECK# /.�37p'
$
0.00
OTHER
DEPOSIT $
4;980.99
INSPECTED BY
REIMBURSABLE
TOTAL $
,98
70:98
/ /�
NUMBER 06,10.. OcCCGCC2
7Icll11
DATE 7W1 Q�
REMARKS
PS 99-086. MUST HAVE APPROVED PLANS AND COPY OF ROW PERMIT BEFORE WILL SCHEDULE INSPECTION.
CURRENTLY SINGLE FAMILY HOME. MAY WANT TO BUILD 4-PLEX OR SPLIT LOT AT LATER DATE.
PERMITTEE (Please Print) 1 p ,�(� a Lj l Iryj-l.-s PHONE
MAIL ADDRESS
SIGNATURE /1 /J
POST IN A CONSPICUOUS PLACE AT THE JOB SITE
AW WU INSPECTOR Original
DATE SCHEDULED 4g
TIME 3:00 INSPECTOR 1-�74�
SUBDIVISION W G PIPPEL BLOCK/LOTITRACT BLK 21-T 10
INDICATE NORTH
SIZE CONNAS
( CORP. STOP
/ CURB STOP C TOC
(/
FT. COPPER PIPE
(
11 WOR 2" KEY BOX
Q /
FT. THAW -WIRE
(
THAW-PLATE/NUT
KEARNYCONNECTOR
OTHER /$1¢)?
s e -e �l �l YG�7Ed
❑ DOMESTIC ONLY
❑ FIRE LINE ONLY
❑ BOTH FIRE & DOMESTIC
❑ FIREHYDRANTONLY
DATE OF TAPE 7 / X2199 BY /' 4�4rU
SIZE MAIN S /I ❑ ALLEY Lk-fTREET ❑ EASEMENT
TYPE MAIN Q//9 EXCAVATOR J�'py y,'r 41alke�
DISCONNECTS ❑ YES ❑ NO SIZE OF DISCONNECT
COMMENTS SPP Gel,v
KEY BOX LOCATION 76 Al, S d" la o
V(3
INSPECTION REPORT
LINE BLOWN OUT /g,� /Q ❑ INSULATED
INSPECTOR M(✓
DATE ] 1.2L j /J
COMMENTS /?
�"Irc s (vkee✓
�.B. &_T.W. - OK AFTER BACK -FILL
❑
OPEN BORE FLUSH
❑
200 LB. TEST
/ /
❑
MAIN CHLORINATED
/ /
LORINE FLUSHED
�❑
TO TURN -ON
❑ DONOTTURN-ON
INSPECTOR M(✓
DATE ] 1.2L j /J
COMMENTS /?
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MUNICIPALITY OF ANCHORAGE
e
WATER & WASTEWATER UTILITY
3000 ARCTIC BLVD.
PHONE: (907)564-2762
WATER
CONNECTPERMIT 99-9982
DATE OF APPLICATION 07/02/1999
SCHEDULED COMPLETION DATE 12/31/1999
BLOCKILOTITRACT
BLK 2 LT 10
SINGLE FAMILY
SUBDIVISION
W G PIPPEL
MULTI -DWELLING No. APTS_
Li On Property Only
PS 99-086
a
COMMERCIAL
TAX CODE 5010113 GRID ERNW02 AS -BUILT
STREET ADDRESS 12333 CENTER ST
OWNER WILLIAMS JEFFREY D & MARY N D
MAIL ADDRESS PO BOX 774396 EAGLE RIVER, AK 99577
PHONE
CONTRACTOR
ASSESSMENTS
D Repair Existing Service
X] Main Line Extension
Li On Property Only
❑
City Tap
❑ Have Been Levied
_I Hydrant Only
❑
50' or Longer
❑ To Be Levied
F-] Main Tap -To Property Line Only
Comments:
Main Tap & On Property Connect
Row No.
!� Disconnect
❑ R & R - Main Tap Only
caner StaOre I
CONNECT SIZE I"
ISSUED span
INSPECTION FEE $
103.00
AID I] CASH
PERMIT FEE $
45.20
lM NECK# ID379
$
0.00
❑ OTHER
DEPOSIT $
0.00
INSPECTED BY
REIMBURSABLE
TOTAL $
148.20
/Y'w 4/
DATE Q/3/9'
NUMBER
REMARKS
PS 99-086. MUST HAVE APPROVED PLANS AND COPY OF ROW PERMIT BEFORE WILL SCHEDULE INSPECTION.
CURRENTLY SINGLE FAMILY HOME. MAY WANT TO BUILD 4-PLEX OR SPLIT LOT AT LATER DATE.
PERMITTEE (Please Print) , V+.'A� PHONE
MAILADDRESS 7 J, L
SIGNATURE n,_�y�„
POST IN A CONSPICUOUS PLACE AT THE JOB SITE
AWWU INSPECTOR Original
DATE SCHEDULED gr/3/10 TIME 3roo INSPECTOR
SUBDIVISION W G PIPPEL BLOCK/LOT/fRACTBLK 2 LT 10
INDICATE NORTH
SIZE CONN 1
CORP. STOP
CURB STOP C TO C
/d y FT. COPPER PIPE
7 1/4" OR 2" KEY BOX
FT. THAW -WIRE
THAW-PLATE/NUT
KEARNY CONNECTOR
OTHER
E NOMESTIC ONLY J BOTH FIRE & DOMESTIC
❑ FIRE LINE ONLY [] FIRE HYDRANT ONLY
DATE OF TAPE / / BY
SIZE MAIN [] ALLEY LL STREET E EASEMENT
TYPE MAIN EXCAVATOR
DISCONNECTS E] YES E] NO SIZE OF DISCONNECT
COMMENTS
KEY BOX LOCATION Ile ' IV S' ,y o;2 R Y
INSPECTION REPORT
LINE BLOWN OUT r/ 3 15�e L] INSULATED INSPECTOR
E,r-K.B. &_T.W. -OK AFTER BACK -FILL DATE / 3 / Q�
El OPEN BORE FLUSH / / COMMENTS
F-1 200 LB. TEST
E] MAIN CHLORINATED / /
❑ CHLORINE FLUSHED
(-61K TO TURN -ON El DO NOT TURN -ON
C
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nss-1I7011917
101'2'1013:30
Blk 2 Lot 10
three part union
4 three part union
key box
1 ~main line
Lake St.
valve
by
DOC Co. dba
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 ' TELEPHONE 688.2759
OWNER OF LAND ~" ¢'J ,;'g;qd /d,~ ~ "1'
ADDRESS t q-) d~o~. ~[ ,.?' ~'[
LEGAL DESCRI~ION/~'-~ ~ t q Z~< ~
DATE - Started Ended
PERMIT NUMBER
DEl'TH OF WELL
STATIC LEVEL OF WATER FT.
DRAW DOWN FT.
GALS. PER HR _
KIN[) OF CASING
KIND OF FORMATION:
From (') Ft. to
From , ? Ft. to
From 4 Ft. to ] ~:[
From ,/c[ Ft. to .'~
From ~"' ,-~ Ft. to
From __ Ft. to__
From ~7 ~ Ft. to
From .~'~,3 Ft. to /
From Ft. to__
From Ft. to
From __ Ft.
From__.Ft. to
From Ft. to.__
From Ft. to
From Ft. to
From__ Ft to.__
From Ft. to
Ft '/,)~. ,~., t~',3~?:~/'-) From,__Ft. to,__
, . ~-:A~ ~: ~ .... From Ft. to
Ft C~.~ -,~ '[ ~ ~ '~ ~ ~,~ c'~ <' From Ft. to
· ~./~/~/c' ~r~m Ft. to.
Ft. ( /~/,~ L~ ~ 7%~ ~J ~ From Ft. to
Ft. From Ft. to
Ft
Ft.
Ft
Ft
Ft.
Ft. '
Ft.
Ft.
Ft.
Ft
Ft. From_ Ft. to.--Ft
From .Ft. to
~rom Ft. to___
From__Ft. to
Ft.
Ft.
Ft.
From Ft. to
From__Ft. to
Ft.
Ft.
MISCL. INFORMATION:
Et,_
DRILLER'S NAME.
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 (UPGRADE) PERMIT
PERMIT NUMBER:SW920295
DESIGN ENGINEER:DUMMY COMPANY
OWNER NAME:RYBARZ EDWARD S
OWNER ADDRESS:P. O. BOX 779371
EAGLE RIVER, ALASKA
99577
PAGE 1 OF 1
DATE ISSUED: 9/18/92
EXPIRATION DATE: 9/18/93
PARCEL ID:05010113
LEGAL DESCRIPTION: W G PIPPEL BLK 2 LT 10
LOT SIZE: 40800 (SQ. FT.)
NUMBER OF BEDROOMS: 2 THIS PERMIT: 2
THIS PERMIT IS FOR THE CONTRUCTION 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 FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
1. ABANDON EXISTING DUG WELL.
DATE:
RECEIVED BY: ' , / ,~// ~/