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HomeMy WebLinkAboutUS SURVEY 3042 LT 4AUS Survey 3042 Lot 4A #075- ! 32 - 72 Municipality of Anchorage Department of Health and Human Services 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Rick Mystrorn htr p:/hw,'w.cl.anc hera ge .ak.us Mayor Permit Number:. #SW 010173 Date of Issue: 6-7-01 Parcel Identification Number: 075.132-72 Date Started: 7-701 Date Completed: 7-7-01 Is well located at approved permit location? [] Yes [] No Legal Description: US Sun/ey 3042 Lt 4A Property Owner Name & Address: Allen Rosenthal 1332 Ht?lcrest Drive Anchorage, Ak 99503 Borehole Data: Depth (ft) Soil T3~e, Thickness & Water Strata From To stick-up 0 2 silty cobbly gravel 2 31 silty sandy gravel 31 72 gravelly silt 72 80 Water sand & gravel-silty 80 96 water sand & gravel 96 101 Method of Drilling [] air rotary [] cable tool Casing type: steel Wall Thickness: .025 inches Diameter: _6 inches Depth: 101 feet Liner Type: Diameter: ~ inches Depth: ~ feet Casing stickup above ground: _~ feet Static water level (from ground level): 70 feet Pumping level: 101 feet after ~ hours pumping 50 + gpm Recovery Rate: 50 + gpm Method of Testing: airlift Well Intake Opening Type: [] Open End [] Open Hole [] Screened Start ~ feet Stopped [] Pcrforatlons Start ~ feet Stopped feet Grout Type: Bentonite # 8 Volume: I bg Depth: Stun_0 feet Stopped _+ feet Pump: Intake Depth feet Pump size hp Brand Name __ Well Disinfected Upon Completion? [] Yes [] No Method of Disinfection: Clorfne Tablets Comments: Well Driller: Alpine Dt#1ing & Enterprises P 0 Box 110496 Anchorage AK 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completlon and the property MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7004 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Jun 07, 2001 Expiration Date: Jun 07, 2002 Permit Number: SW010173 Legal Description: US SURVEY 3042 LT 4A Design Engineer: 0000 None Required Owner Name: ALLEN ROSENTHAL Owner Address: 1332 HILLCREST DRIVE ANCHORAGE, AK 99503- Parcel ID: 075-132-72 Site Address: Lot Size: 64322 SQ. FT. Total Bedrooms: I Permit Bedrooms: 1 This permit is for the consthJction 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. Ail requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of AJaska 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. Issued By: Date: 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/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 07,5'- I ~ ~- -- 7£ Permit Number SWO I O 1 75 Property owner(s) /~/~ /~0~,dT'/'/~L- //f,4~//-~'/J C77~('~- Day phone Mailing address (1) SITE ,M~,i~.address (2) ~IHId ~.UlVIVY Sf~Ck I'IlM~' RoAD Zip Code Legal description (Lot, Block & Sub'd.) ~. ~'.~ ,~0/./o'z- /'o ~' ~/~ Legal description (Section, Township & Range) Lot Size ~; 4: ~ 2 Z, Acre~ Number of Bedrooms ! THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Well Only Water Storage Jacuzz, 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. (Sig~la~u~re of pro~rty own"'~er"o; authUorized agent) Permit Fees: Date of Payment: Receipt Number: (Rev. 12J00) Waiver Fees: Date of Payment: Receipt Number: 96~9I~, '~x~k I' ' 'OB XOB 64.450 0.~ 7 - qqoo 0 · 0'~ DEDICACATED BY / ~ / / · ~c ~I ~. ~/ ~ / .~~/ · ~e~- ~ g/~' ~J ~o~ ~ ~6T ~' ~ ~z I .'1 ~. "~[ , ~ ~ ~'1 ' /1'1' ~ / ~ , -THIS PLAT. ' ~~~ / / II FD. STANDARD BLM ,3 I/4" BRASS CAP MON. 1.2 BELOW GROUND. l 'L- io~ ' 3 ESTABLISHED BY BEARING- BEARING INTERSECTI ~D. STANBARD BLU .~,'/'~" BRASS CAP MON. ,.0 ABOVE GROUND. /-";-s"~M 3 '" 5,,8" / '~ FD. 11/2 'A!rCAP'ON ./' s£.co...] \ REBAR 0.5 ABOVE GROUND.