HomeMy WebLinkAboutSWANEE SLOPES #1 BLK 1 LT 1Swanee Slopes
#1
Lot 1
Block 1
#051-221-34
Rick Mystrom.
Mayor
Mtmicipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
http://www.ci.anchorage.ak.us
June 7, 2000
Trygve Bjorklund
PO Box 772083
Eagle River, AK 99577
Subject:
Swanee Slopes #1, Block 1, Lot 1
Permit # SW990206 PD # 051-221-34
The subject permit #SW990206 issued by this office for a single family well and/or on-
site wastewater system, is due to expire 365 days after it's issuance on July 19, 1999.
If this is a well permit and 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 this is an on-site wastewater system and a licensed Professional Engineer has inspected
the installation, 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.
A new permit must be obtained from this office for a well and/or on-site wastewater
system NOT installed by the expiration date. However a new permit can be issued free of
charge for a second year if the application for the renewal is received on or before the
date of expiration of the original permit for which a fee was paid.
When applying for a new permit after the original permit has expired or for more than a
second year, the fees are: $320.00 for an on-site wastewater permit and $120.00 for a well
permit.
If you have any questions, please call this office at 343-4744.
S~jffmes Cross, pE~
Program Manager
On-site Services
enc: Copy of Permit
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WATER SUPPLY PERMIT
Initial
Date Issued: Jul 19, 1999
Expiration Date: Jul 18, 2000
Permit Number: SW990206
Legal Description: SWANEE SLOPES #1 BLK 1 LT 1
Design Engineer: 0000 None Required
Owner Name: Trygve Bjorklund
Owner Address: PO BOX 772083
EAGLE RIVER, AK 99577-2083
Parcel ID: 051-221-34
Site Address: 018545 OLD GLENN HWY
Lot Size: 19126 SQ. FT.
Total Bedrooms: 2 Permit Bedrooms: 2
This permit is for the construction of:
[] Disposal Field [] SepticTank [] 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 ( 18AA080 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 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:
Date:
Date:
I
N
'? ti}
DATE-~-STARTED. ...............................................................................
DATE~-ENDED ...................................................................................
KIND OF FOR.~4f>iTION:
.......................... TO .~....Z..~. ........F T~:...[:......C~. .....
~ROM.....L...'/.. ........ F~. ~O....~....&.....~..~'~ ~ ~ ~O~../.~.Z ......... ~. .. . · .......
~o...~...~......,~..~..~~ - ~. ....... ~ ~ ............................... ~ ..........................
~o~... -'../-.......~,~ ~~ '___ ' ' '"'~" ~' 4',~~ ~"'~.:~' 3,.. ~ ,,~
~,.~...../~..~....~...4.~...~?~~. ..,... ,..,. .~. -~'. ~"~" '~ ~ _' ~ ~ ....
FHOM..~..~
~ FROM .............. ~. ........ FT. TO ........ : ............... FT ..............................
1-1~ ~
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FROM.,.../~.~...FT, To.,..I.~ ........ F~.~..£ .................
/.~,' ~ I_ ~ ~., ~/(: ~-'~- -'
FROM ........................ FT. TO ........................ FT ...............................
FHOM ........................ FT. TO.-: ................... z'l ............................. ~
FROM ........................ FT. TO ........................ FT .............................
FROM ........................ FT. TO ........................ FT ...............................
'.}
) ~..,, MUNICIPALITY OF ANCHORAGE
- DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
{ ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
~UpGRADE
LEGAL DESCRIPTION
Absorption area Dwellin~
~¢~ ~ Manufacturer ~ C~c Mat~[ No. of compa~nts
Liq. ~c~galJons IF HOMEMADE: Inside length Width Liquid depth
, ~ Well Bwelling PERMIT NO.
O Z ( Manufacturer Material Liquid capacity in gallons
Q Well Foundation Nearest lot line PERMIT NO.
~ 2 DISTANCE TO:
~ '°'°''inesf ~etofnsh radeLenoth°feachline~ Totalleng~nes Trenchwidth~O inches Distance between lines
Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth ~ Total effective absorption area
a Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class I Depth Driller Distance to lot line PERMIT NO.
Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER
PIPE MATERIALS
SOILTESTRATING WF ~
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
F:=ERMIT NO. ,:] 8R~DEe];? )
IPF'L i CFINT E:,ff,,,' I D HOREHEF!E:,
LOCF~T I O1',I
..EGF!.I_.. B::L L± SP.!FI, NEE SLOPE
T'-/PE OF '50'.[L. F~E(-'_';ORF::'TION ,:j,..,,~]"p_'.-,i I~];: 'TF'.ENCIq
THE LE!',IGTH DIMENSZON IS THE i...ENGTH ,:;IN F'EET) OF THE 'I"F:Ei'..IE:H OR C, RI~iNFZEL. D.
THE OEP'TH OF R TRENCH OF: P]:T :IS THE I')ISTRNCE BE:]'P. IEEN THE SURFF:iCE OF THE
GROUH[:, F!HE:' THE BOT]'OM OF THE EXCFIVF!'I"]:ON (IN FEET).
THERE ?5 NO SET !,~![:,T'H FOR TRENC:HES.
THE GRRVEL E:,EF'TH. IS THE M!N)]MUi'I E:,EPTH OF C~RF~',/EL BETHEEN TNE OUTFFiL.L F'IPE
FIND THE BOTTOM OF THE EY:CR',/RTiON (~N FEE]').
F'ERM i T FtF'F'L. I CF~NT HFiS "i'HE RESF'Oi'.:!S i E: ~ L. i !-'f "F '} I i'.,!F'O.~:~$1 TH :!: S DEF'FiR TMENT OUR.T k!G T HE
....... ~..., ~ ......... TH i
[.El-', - c,F,F:.I ,- "' - ",~..~ ITL" ' !'.! '"* LL E:E'. SI...!!?:'L)'ECT -.FEi PF'.O~EE;ECt..fT i' ESL
I"IINIHtJf'! C,I:iE, TRNCE BETIqEEN Ft HELL. RND RN'f OH-SITE SEP.!FIGE [)ISF'OSRL S?S]"EM IS
iC~Zi FEET FOR I:::i F'RIVFfi"E HELl.... OR J_5~} ]"0 2E)~i FEET FROM F! F:'LJE:L. IC P.~E:L.L DEPENDING
UPON ]'NE T'~"F'E OF' PLIE:L.!C HELL
MINIMIJM DIS]~FiNCE FROi! ~ RR~',,,'FTFE I,.!ELL. TO FI PRiVR]"E SEHEP. LINE !S 25 F:'EE:T RND
'TO FI E:OMMLB,IIT'~' SEHE:R L..!NE IS 75 FEET.
OTHER F:EQUZREMENTS Mf~'f RI:'F'L'~". SPEC]:F'IC!::!TIONS FIND CONSTE'.UC:T!ON DiF~GRFiifiS BRE
RVR!LRE~L.E TO !NStJP. E F'ROF'ER :[NSTRLLRTiON.
"E!-?T T F'¥ THFI]"
F. Et:.!L ~. ~.E. HMq, :. F3P L.. t-: .£ ..-':. ':::El I~:,~'~: RN[:, 14ELL.S lqS 15[::.~"£'
I F!i','I F'IhM:£LZI:~R I.,.i!'TFI THE - - ~'-'- ~"- "~ "' .. ........... -"
I
FORTPi BV THE i'fiUi',!IC!F:'F!LIT'~' OF
2: ~ I.,.!!LL INSTFILL. TF!E S;'~"S;TEM :IN FiE:CO¥'.DFfi"~CE: HITFI THE CO[:,ES.
3:: ! U?.,!DE:RS'I]:~hiC, 'THF!T THE ON-S;!'T'FZ SEHER :S?::S'f'l..Zf,'! !',il::i'~.' RE:QLtlF'.E Ei'.,!LRRGEMEiT.F IF: 'THE
D. ESS!DENCE IS P::EMODELE[:, TO INCLUDE MORE T'.'.'4F:iH ii: EiED?.OOMS.
MUNICIPALITY OF ANCHORAGE
DEPARTNIENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
~LOPE
DATE PERFORMED: rT'l~'~--
SITE PLAN
10
11
13
14-
15-
16-
17-
18-
19-
2O
WAS GROUND WATER S
ENCOUNTERED? ~) LpO
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
COMMENTS
PERFORMED BY: (~"~ I'"e-~. {'''~
TEST RUN BETWEEN FT AND FT
CERTIFIED BY:
72-008 (6/7g)