HomeMy WebLinkAboutTRANQUILLITY HEIGHTS BLK 1 LT 43T nquility
Height
Block
Lot 43
#014-151-21
Municipality of Anchorage
Department of Health and Human Services
825 'L' Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
htr p://www.ci.a nchora ge.ak.us
Permit Number:. #SW 020117 Date oflssue: 5-17-02
Date Started: 5.18-02 Date Completed: 5.18-02
Legal Description:
Property Owner Name & Address:
Parcd Identification Number:. 014-15'1-21
Is well l~!ed at approved I~.~iit location? [] Yes [] No
Tranquility Hqhts BIk 1 Lt 43
Robert & Wendy S. Stevens
7541 OurOwn Lane
Anchorage, Alaska 99516
Borebole Data: Depth (ft)
Soil Type, Thickness & Water Strata From To
stick-up 0 2
silty gravel fill 2 4
organic & silt : 4 6
gravelly silt 6 15
water&and & gravel 15 21
gravelly silt 21 62
silt 62 75
water sand & gravel 75 61
Method of Drilling [] air rolm7 [] cable tool
Casing type: steel
Wall Thickness: ,250 inches
Diameter: 6 inches ' Depth: 8/feet
Liner Type:
Diameter: inches Depth:
Casing stickup above ground: 2 feet
feet
Static water level (from ground level): 37,feet
Pumping level: 81 feet after
~ hours pumping 10 + gpm
Recovery Rate: 10 + gpm
Method of Testing: airlift
Well Intake Opening Type:
[] Open End [] Open Hole
[] Screened Start. feet Stopped feet
[] Perforations Start ~ feet Stopped feet
Grout Type: Bentonite gramdes Volume: I bg
Depth: Start_0 feet Stopped: feet
Pump: Intake Depth feet
Pump size hp Brand Name
Well Disinfected Upon Completion? [] Yes [] No
Method ofDisinfectlon: .chlo/fne tablets
Comments:
Wull Drtller:
Alpine D/filing & Enterp/fses
PO Box 110496
Anchorage Alaska 99511
Attention:. The well driller shall provide a well log to the property owner within 30 days of completion and the property
Development Services Department
0 Building ScfetY Division
On -Site Wcter WStter Fracram
B
4700 rcgawStreet
P.O. Sax 196650
MarkEegich Anchorage, AK 99519-6650
Mayor www mum 0111nn"Tt
(907)743-7904
Pump Installation Log
Well Drilling Permit Number: SW 6 2�bl 14' . Date of Issue: _
Parcel Identification Number {�1 I z 151" 211
Legal Description
'`I2.A11QU1 Wry itS
X31 L4z)
Property Owner Name & Address:
Jolj �t MelWyfe-
350D k VA9—
Pump Installation Date: �p a3 p�
Pump Intake Depth Below Top of Well Casin;:S;0/ feet
Pump Manufacturer's Name:
�se�JAexF•�-
Pump Model:
Pump Size /A by
Pitless Adapter Burial Depth: /4C) feet
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer.
Nell Disinfe//U pon Completion??Yes ❑ No
Method of Disinfection:
&rpt' ?.,,—
Comments:
Pump Installer Name:
Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation.
MUNICIPALIT~ OF ANCHORAGE
Development Services Depad~nent
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Initial I Upgrade
Date Issued: May 17, 2002
Expiration Date: May 17, 2003
Permit Number: SW020117
Legal Description: TRANQUILLITY HEIGHTS BLK 1 LT 43
Design Engineer:. 0000 None Required
Owner Name: Robert E & Wendy S. Stevens
Owner Address: 7541 Our Own Lane
Anchorage, AK 99516-0000
Parcel ID: 014-151-21
Site Address: 003500 72ND AVE E
Lot Size: 8521 SQ. FT.
Total Bedrooms: 2 Permit Bedrooms: 2
This permit is for the construction of..
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Pdvate 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 pdor to each inspection. Provide notification by calling
(907) 543-7904 ( 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 eithe~ A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Issued By: ~o-' ...
MUNICIPALITY OF ANCHORAGE
Development Sen/ices Depa~nent
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Initial I Upgrade
Date Issued: May 17, 2002
Expiration Date: May 17, 2003
Permit Number:. SW020117
Legal Description: TRANQUILLITY HEIGHTS BLK I LT 43
Design Engineer. 0000 None Required
Owner Name: Robert E & Wendy S. Stevens
Owner Address: 7541 Our Own Lane
Anchorage, AK 99516-0000
Parcel ID: 014-151-21
Site Address: 003500 72ND AVE E
Lot Size: 8521 SQ. FT.
Total Bedrooms: 2 Permit Bedrooms: 2
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 inspe~on. 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: ~. ~-"-.~ 7 -
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 SEWEPJVVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
Permit Number SW 0~-o I t ~-
Mailing address (2)
Legal description (Lot, Block & Sub'd.) ~. ¢"~ ~ ~t.L~.\'Y~
Legal description (Section, Township & Range)
Lot Size ~ ~ ~"2_/ AcreslSq. Ft.
Zip Code
(.~
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 []
[] 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.
(Signature of pro~L~l'tY owner or a~thorized agent')'
Permit Fees:
Date of Payment:
Receipt Number:
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
EAST 72 ND AVENUE
N 90'00'00" W
.10' UT1L. ESMT.
42
WELL
63.10'
S 89'59'40" E %, 65.10'
7