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HomeMy WebLinkAboutT15N R1W SEC 5 LT 49lifDJ Sic low 49 May 15, 1979 Freddie Wiebe 3424 Robin Anchorage, Alaska Subject: T15N R1W Section 5 Lot 49 Property Owner Name Mailir Legal Descri; Dear Mr. Wiebe: Your water and sewer facilities were inspected on May 11, 1979. MUNICIPALITY OF ANCHORAGE, Department of Health & Human Services On-Site Sewer/Well Permit Application SINGLE FAMILY DWELLING -- 032 -- 30 Day Phone ~ ~-~-.._ Zip Code ~ ~ ~'"'~ '7' Lot Size Inspections Does This a included) [] Jacuzzi [] Water Softener Unit Only [] Water Storage Dflllor Waiver Fees: -~ ~2-o12 (Rev. 4/98)' ~' ;~ MUNICIPALITY OF ~,NCHORAGE /~UNICiPAUTY OF ANCHU~u~G~- ........ :- - DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~LQ~i~ONt.,[~~ ~Z~T~IO~ . .- ~}) - . :ENVIRONMENTAL ENGINEERinG DIVISION ' '-"REouEsT FOR ~PPRO~AL OF INDIVlDU~LWATER AN~ SEW~ .' . DIRECTIONS[Complete all parts on page 1. Incomplete requests will not be proces~d. Please 811ow ten (10) days for processing. ADDRESS STREET LOCAT ON I .............. : .......... :-' ....... [:::] ;?O~'~,:':.".';'-r-IT-'F~'~"'~;~L;l'--I::TOther , '~'"'1 SINGLE FAMILY r-I Two ~1--1 Five ' ' . ~ · ', '"t~F;_E]."?MULT. IPI'EFAMILY_'~.~.~'~ ~,~,~,c,',.?,,'.','~ ,,:J~":Three?.'~ r-I S,x .~ ' . 735,~;.T~:':"; J, 7. WATER SUPPLY ' J ' · i ;'~' *'~'~'; ' . .L'.- ~J~"INDIVIDUAL' t ..........' ~TrACH ~NELL'fOG:~vell I~'[s~-~'i~;~:l f~ll ~ll~rilled .' ,['~,~. ~ ' COMMUNI~ . since June 1975. For wells drill~ prior to'~at date. give well ~PUBEIC'UTILI~ -- --" d~th'J~ff~'[O~if~Jl~b~)'~: ' ~ ..:',',q'~.~ ~ ....... :'~/"i-~'~/-~i'A~C~.-S'i'-i:~'~; ....... ''If indMdu~l/dh:-site.-gi~e iHstallatibr~ dat~ '/~'~"~ "[." · "/'~ ............... ' If system is over two (2) years old an adequacy test is required .... :.1-'1 _ PUS LIC UTILITY .... : ......... by this Department. :, ....... ~'NOTE: THE INSPECTION FEE MUST'ACCOMPANY EACH REQUEST BEFORE PROCESSIN(] CAN BE INITIATED. Rick Mystrom. Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 htr p://www.ci.anchorage.ak.us April3,2000 Howard & Pauline Jerue PO Box 670315 Chugiak, AK 99567 Subject: T15N, R1W, Section 5, Lot 49 SW990135 ParcelID: 051-032-30 The subject permit #SW990L,55issued 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 June 11, 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 3434744. Sincere, Program Manager On-site Services eno: 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 Upgrade Date Issued: Jun 11, 1999 Expiration Date: Jun 10, 2000 Permit Number: SW990135 Legal Description: T15N RIW SEC 5 LT 49 Design Engineer. 0000 None Required Owner Name: Howard Jeme Owner Address: P O BOX670315 Chugiak, AK 99567-0315 Parcel ID: 051-032-30 Site Address: 022155 DAVIDSON DR Lot Size: 104980 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 Chaptem 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 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. 5. The following special provisions. A well log shall be submitted to DHHS after the well has been drilled along with a letter stating that the well was drilled in the approved location. · ,, , . DAVIDSON DRIVE I ........ ................... .:.....T ...... +,,:, ~ ~ ' t I ~ JANET I~_ SUBD. . 85-42 LOT 49 50B I AF, ~. rK)!IAGE, ALASKA 99501 (907) 2(~'~4/11 May 15, 1979 Freddie Wiebe 3424 Robin Anchorage, Alaska Subject: T15N R1W Section 5 Lot 49 Dear Mr. Wiebe: Your water and sewer facilities were inspected on May 11, 1979. Both were found to be of improper construction and unacceptable with this department. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Alaska Mutual Savings Bank Mortgage Loan Department Post Office Box 1120 99510 MUNICIPALITY OF ANCHOJUV~E - MUNICIPALITY OF ANCHORAGE DEPT. ©[- ! ' *~T' & DEPARTMENT OF HEALTH & ENV RONMENTAL PROTECT~O,,I~iRO~i,'/N]',~L ~ , ;;1 :TIO~ 825 L Street - Anchorage, Alaska ggB01 . ~ ~~.: ~ENVI.ON~ENTAL ENGINE E RING DIVISION ~: DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten {10) days for processing. 1. PROPERTY OWNER PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above} 2. BUYER MAILING ADDRESS PHONE PHONE PHONE MAILING ADDRESS 4. REALTOR/AGENT JPHONE MAILING ADDRESS LEGAL ;TR EET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four [] Other__ ..~' [] Two [] Five SINGLE FAMILY [] MULTIPLE FAMILY .~ Three Six 7. WATER SUPPLY ~.~ INDIVIDUAL~ COMMUNITY [] PUBLIC UTI LITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM /~' INDIVIDUAL/ON-SiTE** [] PUBLIC UTI LITY **If individual/on-site, give installation date / ~'~?~ ~'. 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) THIS SIDE FOR OFFICIAL USE ONL~, DATE RECEIVED ' INSPEC-rlON APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR I NSP ECTO R INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2. WATER SUPPLY PERMIT NUMBER [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~]INDIVJDUAL/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 WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) ~'~ISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev, 3/78)