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~,
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