HomeMy WebLinkAboutHILDRETH LT 2ram�pozjo 02
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ruvoperty needs
a,,reement for septic
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Hildreth
Lot 2.
#050-331-02
by
DOC CO. dba
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2750
OWNER OF LAND:
ADDRESS:
LEGALDESCRIPTION: H ILg~ /~'~--TH /-'7 ~'
PERMIT NUMBER: ~Date of Issue.~---..o)._.~.
TAX IDENTIFICATION NUMBER:
Is well I~at~ at appmv~ pe~it location? ~s :~ No
Meth~ of Drilling: "~ota~ :J cable tool
~pth of well: ~
Casing Type ~Wall ~ickness ~ ~ inches
Diameter ~ // inches, depth ~/ ~ ~ feet
~Lin~Type: ~ ~ -' *
Casing Stickup Above Ground: ~ · feet
Static Wat~ Lev~: ~ f~t
R~ov~ Rate: ~gpm
Method of Testing:' ~ ~ '
~1 Intake Opting Type: Q o~n end ~ ho~e
~ Scr~n~; Sta~ f~t Stopped feet
~ Perforations Stad fect~op~d feet
Grout Type:~¢ ~~ '
Volume
Depth: from ~ f~t, to ~ ~ ~ feet
~11 Disinf~t~ U~ C~pletion? ~s O No
Meth~ of Disinf~ti~:
Comments:
BORE HOLE DATA
DEPTH
A'CrENTION: It is the responsibility of the properly owne¢ to submit a copy of the well log to the proper authority. Municipality
of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough:
Department of Environmental Conservation.
Driller's Name /~'~
MUNICIPALITY OF ANCHORAGE
Development Sen/ices Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P,O, Box 196650, Anchorage, AK 995'/9-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Upgrade
Date Issued: Aug 23, 2001
Expiration Date: Aug 23, 2002
Permit Number: SW010337
Legal Description: HILDRETH LT 2
Design Engineer: 0000 None Required
Owner Name: JAMES ROWE
Owner Address: P O BOX 240445
ANCHORAGE , AK 99524-0445
Parcel ID: 050-331-02
Site Address:
Lot Size: 103950 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:
Issued By:
Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWEPJVVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLI'NG
Parcel I.D.
Permit Number~
Property owner(s)---J"Z'~ ~ ~"$
Mailing address(I) ~i;)O ~,~ '~'q~ ~'"'
Mailing address (2)
Legal description (Lot, Block & Sub'd.) ~/~,"~-
Legal description (Section, Township & Range)
Lot Size
Day phone ,~
- Zip Code
~" .~'1~ Acres~. · Number of Bedrooms
I 0 ~, q~'o ~
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Well Only
Water Storage
[] Jacuzzi []
[] Water Softening Unit []
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.
(Sigr~[ure of property owner or authorized agent)
Permit Fees: / ~_/~ ~)O
Date of Payment: ~--/~'- - ~2f
Receipt Number: ~7/3
(Rev, 1~00)
Waiver Fees:
Date ol~ Payment:
Receipt Number:
~ ~'/ '~ v ~ ;o ~ impmmmer~e ~ltua~l theroan are
~Z¥c .v- . ~d ]hat the
r..~...,,~,.I. ~ 'W~h~ ~ pra~e~ Ihl ~ don~ over?ap or
STAN SEARS 8. ASSOCIATES
REGISTERED LAND SURVEYORS
POET OFFICE BOX 283
EAGLE RIVER,
ALASKA
UNICIPALITY OF ANCHORAGE
Heal~.~ and Environmental Protecl
Fourth Floor West
825 L Street
Anchorage, Alaska 99501
264-4720
TIkE DI~,AIN [:lEi_D:
wo'r^L Lel',la T H
~ of Lines O:Si..,.NCL- L~[I",VEL-N LHIJES FREFJCII V, liST __ _ IN. TOI'AL EFFECTIVE
f DEPTll OF f ILTER ~ / tr
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SEEPAGf!
DI ME'i ER ..... ()R WIDTH ...... LENC I'H ..... D~?-I I-t ................................
Log Crib Rings Crib Size: OI,",;,,'LTL!,( _ _L~FPItt.._ OF~TAFI(;EFi?0¥i: WEtL .........
qOT,/~L. El FFC'/'IVIt
BUtL_I31N': f"ct_j;4[]/-,q IO'~ ..... NEAREST [()T LIN/ ....... /,VhORPTION ARF,% (W,qLL AREA) SQ F'I',
Well
Class: Depth:
Well Distance To: Lot Line
Bldg: Sewer Line:
Pipe MaLerials: ~ --
{! of Bedrooms: ~__
Installer:
Remarks:
FIP Fl.,. I CI:::iN T
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O ~ CO.
E GEO', ,:CHNICAL Er DEVEL,_?MENT
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster Earl Ellis
694-2774 SOIL LOG 0aa.z~o
Soils ~ Foundations Land Development
Performed for:
Legal Description:~Z: o?~
Name:. Z z>o/2/jj ~-'~/.~/z:/:?:' Tel. No. ~
Mailing Address:~;~,x:. ~':~:;i ./-~/'::'~: /-:~"'~/?~- //~' ~'~.~-'2-~
~ Soll Charactertstl_c)
~_, ~., . · __ ~..~.
~0~
Ground Water Encountered: Yes
Proposed Installation: Seepage Pit
Comments
No ~-' If yes, what depth._.~__~
Drain Field._._....
Performed b. _ ..... _ , ........, :.--: -
~UNIOIPALITY OF
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~~IR~M~NIAL PRUi~ ..~
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL ENGINEERING DIVISION
~EQUEST FOR APPROVAL OF INDIVIDUAL WATE~ AND SE~E~ FAOILITIES
DI~EOTION~: Oomplete all pBrts on p~ge ]. Inoomple~e rnquBsts will not be procossed, Please BIIow ten (~0) dsys for proaessing.
- PHONE
MAILING ADDRESS
PROPERTY RESIDENT (If different from above) P~ONE
2. BUYER PNONE
~AILIN~
~, LENDINg 1~STITUTIO~
PNONE
MAILING ADDRESS
4, REALTOR/AGENT J f ' ' PHONE'
MAILING A~DR ESS -
5, LEGAL DESCRIPTION
STREET LOCATION '
B, TYPE OF R~ID~NOE
SINGLE FAMILY
MULTIPLE FAMILY
1, WATER ~UPPLY
NUMBER OF BEDROC)MS
~] One [] Four
[] Two [] Five
J~ Three [] Six
[~J Other
INDIVIDUAL'
[] COMMUNITY
[] PUBL C UTILITY
8. SEWAGE DISPOSAL SYS'rEM
.1~ NDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
* ATTACH WFLL LOG. A well log ~s required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
**If individua/on-site, give installation date /O,/~7 .
If system is over two (2) years old an adequacy/test is required
by this Department,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
$25.00 fee attached
Any questions, please
and please provide directions to property.
call me at 264-4720 - Laura. Thank you.
THIS SIDE FOR OFFICIAL USE ONLY
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
INSPECTOR ' INSPECTOR INSPECTOR
}IRECTIONS:
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [~] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2, WATER SUPPLY
E~ INDIVIDUAL )EPTH OF WELL
~ COMMUNITY~, ~, DATE DRILLED
[] PUBLIC UTILITY
Connection Verified_ LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVI DUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tank or []Holding Tank
Size: /¢-~-~ If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4, DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line
WELL TO:
I
Absorption Area to nearest Lot Line
5. COMMENTS
~]-"'"APPROVED FOR ~_~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[~] DISAPPROVED
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
P.O. Box 4-1276 4049 DU$tNI:7$;S PARK [}I_VD.
YEI_E?HONE
(¢37) 27g'~014
TO [;E CO[,iF-LI!TL:D BY V/ATEFI SUPPLIER 'fO Bi=- COP,~PLErF. D {;Y L.AL~OPd'¢fORY
Mo. Day Year
,e, Ar:¢; F' L E 'fy p E:
[] Routine
I~ Check Stu'nple (for routine smnple
with lab ref. no )
F'~Spec Iai Purpose
FJ Treated Water
[3 tJntreated Water
I.ABOr~A ORY
CHEFt___& G~.E0~ LA~.5_0_F_ A.K~ IN.C._._
NAME
4649 BUSINESS PARK BLVD.
ADDRESS
ANCltOR~E, ALASKA
CITY
Date Received
Tirne Received
Analytical Method:
F3 Fermentation Tube
~ Membrane Filler
SAMPLE
NO. LOCATION
Time Collected
Collec[ed By
I.ab Ref. No. Result* Analyst
READ INSTRUCTIONS
BEI':ORE
COLLECTING SAMPLE
Form NO. 18-310(3-78)
06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD
Rev. 1978
Date Received 9 - ~6----Z~ Time Received 3 ~' 0 0 ,/'"'~7'.m .- .- .~_a b. N ...... 8754-_2] .....
_Pr~sump~t!V_econfirmatory48482424 Hours Hours Hours Hours ........
TI ..... 7./~ ~k':~ - e.~.m.k-
L
LOT 2
N 89°59'30" VV 630.54'
\Aicop found I 14,6*
not located 30' Fuel Tank
69.3' 1 Pipes
0 v,
z
o ® a 1 Story
90 House
`2 o cp —' 130.1
o W c? n°
LOT 2 0�) m Deck ,� 6'x12'
c Til
CD Shed/Saul
0 1 Story
o Fuel Tank House CD
Pipes 0
N 8959'30" W 630.52' 629.64' (M) [:::] 6'x12' Shed/Sauna
rrj LOT 3
10'X10' Cl)
Z Shed Z O
® o Detail 1 "=20'
0 0
C) o -Pt
w v N)
a 20° Telecom & Elec Esmt �o� C2
Bk3701 Pg407a-408 °3 m
1015' Gravel Driveway'
Nothing set I ~ ' 1 ` Gate
for found 30'
T
N 89°59'30° VV 630.43
W
1 DLE ROAD -- u 15' Gravel Road
7 8
p SK f�^I t
LEGEND
� Founc
SI.JRVt=YING, MAPPING, LAND PLANNING, GIS
�. • °0 Founc
49TH 1 1 31 E. 76th Ave., 5uite 1 O1 Anchorage, Alaska 555 15 Q Clean
— FarpointAK.com , (907) 522-7770 e survey@farpointak.com ........Well
ASBUILT SURVEY OF: ;SURVEY CERTIFICATION: FARPOINT has conducted a physical ED Trans
Lots 2 & 3, Hildreth Subdivision (66-75), 1survey of the subject property, the improvements situated
Michael . Horne ® Tele
°• .� thereon are within the property lines as shown.
No. LS-5318 a� Anchorage, Alaska ❑ Tele
F�FQ° • . ° \�5�� EXCLUSION NOTES: It is the owners responsibility to determine (�) Mea:
PRpFES�IONAL�P� WORKORDER No. DATE: SCALE: i the existence of any easements, covenants, or restrictions which
JUL 29, 2014 1 "a 60' do not appear on the Plat used for this survey. NOTE: Under no
NOTE: 1) Bearings and distances are as per Plat No.66-75. 14091 DRAWN: CHECKED: GRIDNos FBBOOKiPAGE: circumstances should any data hereon be used for construction
ROL ME NW256 111/8-10 lor for the establishing of property lines.