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HomeMy WebLinkAboutT15N R2W SEC 25 LT 139 REMWell Drilling Permit Number: 5VV Parcel identification Number: MYTOMI HOPH7,70-4 MIM IN =7 Date of Issue Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. George I'. Wucrch. Mapor March 11, 2003 Municipality of Anchorage Building Sa!~ty Divisio~i Anchorage Ali-America City 2O02 Kenneth & Patty Anderson PO Box. 770129 Eagle River AK 99577 Subject: On-Site Water and/or Wastewater Permit. Permit Number: SW020084 r. Legal De~cripti6ri: T15N R2W Section 25 Lot 139 REM Dear Kenneth & Patty Anderson: An.On-Site Water/Wastewater Permit, number SW020084, issued by this office for a single-family ' system, will expire on April 30, 2003. This permit was valid for 365 calendar days. If this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to clbse the permit. If this pc,mit ~vas for a wastewater disposal system, an original as-built inspection report must be sent to this office for review, approval and documentation. This as-built inspection report must be .~igned by the licensed Professional Engineer who inspected the installation of the system. As-built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are Still planning to install a well or wastewater disposal system, a new p~rmit must be obtained from this office. A new permit for a second year may . be issued for a fee of $100.00 ifthe renewal application is received on or before the expiration date of the original permit. When applying for a new permit, the fees are: $400.00 for a wastewater permit and $150.00 for a well pemfit. If you have any questions, please call this office at 343-7904. Jam~'s Cross, P.E. Mafiager On-Site Water and Wastewater Program Enc: Copy ofpermit P.O. lh~x 196650 * Anchorage, Alaska 99519-6650 ·Tclcphonc: (907) 3/t3-~q01 ° Fmx: (907) 343-8200 4700 South Bragaw Street ' Anchorage, Alaska 99507 htt l~://www,cl.mmhoragc.al{.us MUNICIPALITY OF ANCHORA GE Development Services Depa~lment On-Site Water & Was~ewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Renewal Date Issued: Apr 30, 2002 Expiration Date: Apr 30, 2003 Permit Number: SW020084 Legal Description: T15N P,2W SEC 25 LT 139 REM Design Engineer: 0011 Constructing Engineers, Inc. Owner Name: Kenneth & Patty Anderson Owner Address: PO Box 770129 Eagle River, AK 99577- Parcel ID: 051~312-44 Site Address: 017922 SEE SAW AVE Lot Size: 98314 SQ. FT. Total Bedrooms: 5 Permit Bedrooms: 5 This permit is for the construction of: ~'] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well ~ Water Storage Ail 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 i~rior 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: Date: ..~'---~'-C:::3 <~' 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. C>~-J - ..~ ~ '7. '-- Permit Number SWOZO0~ Property owner(s) J~. r~.,~/~t ~E'T'-/-/~-~AT'/L//~ ~,~P_~o-t Day phone ~ C.j, I../'5 ~'7 _'7 Mailing address (1) '~(..g I~c)X._"7"7'C)/Z~ /'~/3~L/~ j'~,~r-',_~_. ,4-~---- Mailing address (2) Zip Code ~,c],,~. '7 ~ Legal description (Lot, Block Legal description (Section, Township & Range) Lot Size c_-/~31 ~ Acres/Sq. Ft. 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 property owner or authorized agent) Permit Fees: Date of Payment: Receipt Number: (Rev. 12/00) · ', Waiver Fees: Date of Payment: Receipt Number: March 7, 2002 Municipality of Anchorage George P. Wuerch. Mayor Building Safety Dix4sion P.O. Box 196650 · 4700 S. Bragaw Street Anchorage, Alaslm 99519-6650 · (907) 343-8301 http://x~'ww.ci.anchoragc.ak.us Kenneth & Patty Anderson PO Box 770129 Eagle River AK 99577 Subject: On-Site Water and/or Wastexvater Permit. Permit Number: SW010085 ~L~/~l D~sc~ption~ T15N R2W Section 25 Lot 139 Dear Kenneth & Patty Anderson: An On-Site Water/Wastewater Permit, number SW010085, issued by this office for a single-family system, will expire on April 26, 2002. This permit was valid for 365 calendar days. If this was a well pemfit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as-built inspection report must be sent to this office for review, approval and documentation. This as-built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system. As-built inspection reports are required to be submitted xvithin 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. A new pc,mit for a second year may be issued for a fee of $100.00 if the renewal application is received on or before the expiration date of the original permit. When applying for a new permit, the fees are: $400.00 for a wastexvater pemfit and $150.00 for a well permit. If you have any questions, please call this office at 343-7904. Jam~s Cross, PE Mafiager On-Site Water and Wastewater Program Ene: Copy of permit MUNICIPALITY OF ANCHORA GE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Apr 26, 2001 Expiration Date: Apr 26, 2002 Permit Number: SW010085 Legal Description: ,T15N P,2W SEC 25 LT 139 REM Design Engineer: 0011 Constructing Engineers, Inc. Owner Name: Kenneth & Patty Anderson Owner Address: PO Box 770129 Eagle River, AK 99577- Parcel ID: 051-312-44 Site Address: Lot Size: 98314 SQ. FT. Total Bedrooms: 5 Permit Bedrooms: 5 This permit Is for the construction of: [] Disposa~ Field [] SepticTa.k CI Ho~dingTank [] 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 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: ~ ! t Date: /'¢ ,-~- 7'-0 f ,¢ ---- ¢/ 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. ~4 Permit Number SW O I00~ Property owner(s) Mailing address (1) Mailing address (2), N,,#~v Legal description (Lot,-E~m~=a=~b~.) I .~cj Legal description (Section, Township & Range) Lot Size ~ g~ -~=~i, .~~Sq~ 14 Tt~M 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 property owner or authorized agent) I Permit Fees: Date of Payment: Receipt Number: (Rev. 12J00) · ~, ,/~t77 Waiver Fees: L)_ [ ,.~ Date of Payment: ~-qO~_~ / Receipt Number: HANK WILSON CIVIL ENGINEER LAND SURVEYOR CONSTRUC'm lNG ENGINEERS 9601 bUddY WERNER Dri~ ANCHORAGE, ALASKA 9951 PHONE/fAX (907) 346200 //-$.- o/ m 7',.4-,u~ /50 o ~/_. ,I 329 21 ~v~zt_ A: I I I I I Pt~o FO ~e'o si' c:o~,~r' ,o0 ',3-¢~.,r-. %',. m--T ~. ~so~ Constru.cting Engineers, Inc. Eng=nee_r~s, Surveyors SOILS LOG PERCOLATION TEST PE.FOR,~ED FO.: /~E'~ F}~J ~ 61~.30/'-) DAVE PE.F0.'~ED: LEGAL DESCRIPTION: LOT 1 2 3 4 5 6 7 8- 9- 10- 11 12 13 14 15 16 17 18 19 20 COMMENTS /- '7' $8,..,o? s rOT ,~ / ~ 'Fy J d,,~ .,="//c/--m= WASGROUNDWATER ENCOUNTERED? SLOPE SITE PLAN S L IF YES. AT WHAT / O DEPTH? p E Gross N~ D~t'fl to I~ Re~dlng Date Time Time We~ D~  I~ l~ ~" / '" ~ O~ I~ ~" I" ~ (~ 7" I" PERCOLATION RATE /--~'" (m,nute~,'mct~) PERC HOLE DIAMETER TEST RUN BETWEEN '7 ~ FT AND FT PERFORMEDEY: /~114' ~.~[L,.~ , ~,~, ~4.?[L~DJ~ CEFiTIFY THAT T~IS TEST WAS PERFORMEO IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATF- DATE; ~07-344-2000 Co~stru.ct~; ~n~x~ee~s, Inc. _~__:..~. LEGAL DESCRIPTION: ~0 T [ ~ Township. Range, Se~ion: ~J ~ ~ ~- O~- O I SLOPE ~ SITE P~N 1 2, 3 ,4 6 ? 8 9 I0 11 1'~ 13 14, 15 16 17, 18 19 0-1 I-.3 WAS GROUND WATER ENCOUNTERED? S IF YES. AT WHAT ~ OL DEPTH? P PERCOI.~TION RATE _ ~ (m,nute~lnc~) PERC HOLE DIAMETER C ~ ~ o .... ~T RUN BE~E~ .7 ~ ~ AND ~ FT PERFO.MED ~v: /'/,/-/. ~.O/C~z,J ' /'/' Az' ~U/~50/v/c~vl~v THAT TH,S TES? w,~ PERrORMED,N ACCORDANCE WITH ALL STATE ANO MUNICIPAl. GUIDELINES IN EFFECT ON THIS DATE. DATE: _ ~-- C~ ~-- ~ 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 Initial Date Issued: Oct 17, 2000 Expiration Date: Oct 17, 2001 Permit Number: SW000439 Legal Description: T15N R2W SEC 25 LT 139 REM Design Engineer: 0000 None Required Owner Name: Kenneth & Patty Anderson Owner Address: PO Box 770129 Eagle River, AK 99577- Parcel ID: 051-312-44 Site Address: Lot Size: 98314 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 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 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. Date: Date: /o-17-0 o ~NDERSgN BRDS. \ HUSKY (SAN BOWFEL Avenue) UO 85.26 105.28 ,50.02 7,-~, street · erti[iei) ri[[ing by DOC CO. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 ° TELEPHONE 688-27,50 OWNER OF LANB: .~¢J ,¢~¢~J~/=~J'O'¢J BORE HOLE DATA ADDRESS: ~O /~ ~ 70 /~ LEGAL DESCRIPTION: ~/~ ~ zoT t 5~ DATE: ] B . ~ PERMIT NUMBER: OO O ~ } ~ Date of Issue,/O _ I~ _ OO is well I~ated at approved permit location? ~ ~ No Method of Drilling: ~taw 2 cable tool Depth of well: ~ ¢ v' Oasin~ Type ~ n~& Wal Thickness ' inches Diameter ~ /I inches, aepth ~ 0 7 feet Liner Type: ~ ~ ~ ~ Casing Stickup Above Ground: ~ feet Static Water Level: ~ ~ feet Method of Testing:~ / Well Intake Oaening Type: Q oaen cna ~'h~le ~ Scr~n~: Starl feet Stopped feet ra Perforations Start fe~t ~t~pped feet ~rout ~ype: ~r~ ~'m~ Volume Depth: from ~ feet. to ~' feet Well Disinf~t~ Upon Oompletion? ~ Q No DEPTH From To Comments: Driller's Name 1,10V 0 1 2000 Municipality of Anchorege Dept. Health & Human Serv ATTENTION: It is the responsibility of the properly owner 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. ertifie ri[[ing Kog by RECEIVED DOC CO. dba SULLIVAN WATER WELLS~ov o~ ~ooo P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2750 Municipality ot Ancl~orage Dept. Health & Human Services ADDRESS: .~O 13o~ LEGAL DESCRIPTION: · I PERMIT NUMBER: Ol)E~3~ Date of Issue I0 Is well Iocate~approved permit location? ~,~e~,'~ No Method of Drilling: ~ ~rr rotary rj cable too Deptl~ of well: ~ ZJe O O Casing Tyl~e~5"7~/- Wall Thickness , O~ ~ inches D}~¢~<~,,~/t_ inches, depth ~'~jO' ,.~1/ feet Liner.Type: ~ Casing Sff~kup Above Ground: ~ feet Static Water Level: feet Recover '~ate· ~) gpm Well Intake Opening Type: ZI open end Q open hole 2 Scr~ned; Start feet Stopped feet M Perforations Start feet ~oRpeg feet Grout Type: ~ ~ To~ I ~%lu~-- ¢ ~ Depth: from O feet. [o ~ feet Well Disinf~t¢ Upon Completion? Q Yes Method of Disinfection: BORE -IOLE DATA Comments: DEPTH From To cl~ lit) t10 ~7c q~ I Driller's Name .j . A~q-ENTION: It is the responsibility of the eroperty owner to submit a copy of the well log to the proper authority. Municieality of Anchorage: Department of Health & Humar Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation.