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Home My WebLink AboutALYESKA #3 BLK 22 LT 1Onsite File v f. Build safe--ly Div] e ^ G :n } og : C @.0ser' � •��s'set�� 6°v�M.,y-� =3700 Elmore !?oad P.O. iso" 196650 Anchorage, Al: 99507 s A F E T Y , Mark Begich wvnv.muni.orq/onsite Mayor (907) 343-7904 Well Log Permit Number: OSP181039 Date of Issue: 4/6/18 Date Started: 6-25-18 Date Completed: 6-26-18 Is well located at approved permit location? U Yes U No Legal Description: Alyeska #3 blk22 lotl G:4916 Property Owner Name & Address: Nafzger Jonathan Borehole Data: Depth (ft) Soil Type, Thickness & Water Strata From To stickup 0 2 overburden 2 4 silt & gravel 4 38 sand & gravel 38 40 silt & gravel 40 62 silty gravel w/ silty H2O 62 72 bedrock w/ H2O 72 105 Water Sample Results: Arsenic: ug/L Nitrates: mg/L Total Coliform Bacteria: colonies/100mL Other Bacteria: col/100mL, Method of Drilling U air rotary U cable tool Casing type: steel Wall Thickness: .250 inches Diameter: 6 inches Depth: 72 feet Liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 42 feet Pumping level: feet after hours pumping gpm Recovery Rate: 20 gpm Method of Testing: airlift Well Intake Opening Type: �i Open End n Open Hole ❑ Screened Start feet Stopped feet F1 Perforations Start feet Stopped feet Grout Type: Bentonite Volumc:granul Depth: 20' Start 0 feet Stopped 20 feet Pump: Intake Depth 90 feet Pump size z hp Brand Name Grundfos SQE Well Disinfected Upon Completion? n Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller- Hefty Drilling, Inc. 3540 Akula Dr. Anchorage, AK 99516 Attention: The well driller shall provide a well log to DSD within 30 days of completion. Development Services ®epar nnen-i Building Safety Division On -Site Water rd: Wasteviater Progrant 4700 Elmore Road P.O. Box 196650 Mark Be9 ieh Anchorage, AK 99507 s n F E T Y Mayor mmmuni.orq/onsite (907) 343-7904 Pump Installation Log Well Drilling Permit Number: SMIUO Date of Issue: VI v U Parcel Identification Number: Legal Description 5 i/� 6w. Pump Installation Date: Pump Intake Depth Below Top of Well Casing: qD feet Pump Manufacturer's Name: �YLrt_d Pump Model: u Q1, 07—,)00 Pump Size t`� hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: Ua Well Disinfected Upon Completion? Yes n No Method of Disinfection: CA 16V,1 t -e_ �Z. 10� Comments: Property Owner Name & Address: Pump Installer Name: _ yl Vcel ��Vrdftv, � 9 5u Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. SGS Ref.# 1192922001 Client Name Hefty Drilling Project Name/# 122 Higher Terrace �"�" 4-6 -�reATMP-v�j I Client Sample ID (Well)- Prior Matrix Drinking Water KEEP zn] FILE Printed Date/Time Collected Date/Time Received Date/Time Technical Director 06/17/2019 9:46 06/07/2019 9:00 06/07/2019 15:55 Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic 19.4 X 5.00 ug/L EP200.8 B (<10) 06/12/19 06/14/19 DSH Waters Department Total Nitrate/Nitrite-N ND 0.200 mg/L SM21450ONO3-F C (<10) 06/12/19 EWW Microbiology Laboratory E. Coli Negative 1 100mL SM21 9223B A 06/07/19 A.L Total Coliform Negative 1 100mL SM21 9223B A 06/07/19 A.L 2 of 7 KEF-e IN RLE SGS Ref.# 1195559001 Client Name Residential Testing - Cash Account Printed Date/Time 10/02/2019 16:41 Project Name/# Jon Nafzaer Collected Date/Time 09/18/2019 22:00 Client Sample ID 122 Higher Ter — c44ce-r 4-Yej,�et\4 LjA'I+ Received Date/Time 09/19/2019 14:21 Matrix Drinking Water Technical Director Stephen C. Ede Sample Remarks: Allowable Analysis Parameter Results Limits Units Container ID Method Date Metals by ICP/MS Arsenic ND Waters Department Total Nitrate/Nitrite-N ND Microbiology Laboratory E. Coli Negative Total Coliform Negative (<10) ug/L (<10) mg/L 100mL I OOmL B EP200.8 09/27/19 C SM214500NO3-F 09/25/19 A SM219223B A SM219223B 09/19/19 09/19/19 2 H "'" MUNICIPALITY OF ANCHORAGE Rent rSiDr � On-Site Water&Wastewater Program No Q^r f raPO Box 196650 4700 Elmore Road A Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ^ r, �S httpalwww.muni.org/onsite .__P_ Alliiiii Jul I)(•l,aI tInt•nt 4 h CHOPY* On-Site Water System Permit Permit Number: OSP181039 Effective Date: 4/6/2018 Work Type: Well Initial Expiration Date: 4/6/2019 Tax Code Number: 07602208000 Site Legal Address: ALYESKA#3 BLK 22 LT 1 G:4916 Site Mailing Address: Owner: NAFZGER JONATHAN R & Lot Size in Sq Ft: 13394 Design Engineer: Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank 0 Holding Tank El Privy 0 Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: To close out this permit, please submit the following: 1)Well log 2) Pump install log 3)Water sample results for coliform, nitrates and arsenic. rcL / Received By: --r- Date: �,/6 r i� Issued By: yQ, i('& CQ)i ek Date: l 0/IS MUNICIPALITY OF ANCHORAGE Community Development Department s Phone: 907-343-7904 Development Services Division - Fax: 907-343-7997 On-Site Water &Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 03G- On- O' -000 Property owner(s) oN 1 4 b s,ki 1Z Day phone 107.2_41,W M Mailing address %gC) GLkty P2opve/S pg/v1 Site address H -1au. TeutlAt / 12. o 01) . Legal description (Sub'd., Block & Lot) 41-Y51c/{ Lor J Legal description (Township, Range & Section) Lot Size 13/ 3 1'( Sq. Ft. Number of Bedrooms 4- APPLICATION APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑ Initial Single Family (SF) 12( (w/wo ADU) Septic Tank ❑ Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signa o:p pe 1vner or authorized agent) Permit/Rush Fees: 2.IC. Waiver Fees: Date of Payment: 'i lU Ile Date of Payment: Receipt Number: o9?qo ii .w,t) Receipt Number: Permit No. OSP 1 VI 039 Waiver No. Permit App_9-1-12.doc LT 1 \ rtiz1.-(- ---- .--' .. ..... N. N. / / \ / •i i i I 1 . I 1 I 1.1 17--7- „....,..,,. . 1 !. • 1 1 ....-- ........,..„.,, ......,_________ % ,,,v, 1 , .... 1 I I ,- " `, . �i�FR R,�•a I 1 I , /V'/ ♦ `♦ 'kWyy�F 1 I I ♦ cR II � \ f I 11 39$AL \ NE MEADOWS AVE. \ I. I - II ALYE A BASIN#6 \ I - I I - 1 BLK 7 LT I. \ (\,k 1L-------- ''1 ` , 1 I I NO'WGNER TERRACE/ a \ I I ALYESKA.f3 / _L I I BLK 22 LO ,2 / p 1 ISG / / N. R100...0. R7$ R�5•• I I 't \.. ..._ I 1 i/ \ o EXISTING . /( I I I WELL -' PROPOSED / I I _ --- I _ WELL I / I �s-o t-11– OFFSET FROM SEWER TRUNK LINE—� p i/. —I f 1 a Os.° ' EMEND I I pg� as 11 I i 1 1 �p4p� 1 — I I I I •I 1 1 1 253 St.MORITZ DRIVE 1 ALYESKA BASIN#7 BLK 27 LOT 11A MUNICIPALITY OF ANCHORAGE .0.400.0 a+i4s4rt% WASTEWATER $141315 frAWICONNECT PERMIT ,ji ,)`� WATER &WASTEWATER UTILITY DATE OF APPLICATION: 05/30/2014 3000 ARCTIC BLVD. PHONE:(907)564-2762 SCHEDULED COMPLETION DATE: 12/31/2014 BLOCK/LOT/TRACT: BLK 27 / LT 1 / IN SINGLE FAMILY SUBDIVISION: ALYESKA BASIN #6 ❑ DUPLEX ❑ COMMERCIAL ❑ MULTI-DWELLING No. APTS TAX CODE: 07607109000 GRID. SE4916 STREET ADDRESS: 398 ALPINE MEADOWS AVE Girdwood, AK 99587 OWNER: LOVETT JOHN T & CHRISTINA L J PHONE: MAIL ADDRESS: PO BOX 110688 ANCHORAGE. AK 995110688 CONTRACTOR ASSESSMENTS ❑ Repair Existing Service ❑ Main Line Extension ❑ On Property Only ❑ City Tap X❑ Have Been Levied ❑ Hydrant Only ❑ To Be Levied ❑ Main Tap -To Property Line Only Comments: ❑ Main Tap & On Property Connect Row No. ❑ Disconnect ® R & R - Main Tap Only pwner 1 Staff CONNECT SIZE 4 in ISSUED WWJHM INSPECTION FEE S ❑ PAID ❑ CASH PERMIT FEE $ ❑ CHECK# S ❑ OTHER REIMBURSABLE DEPOSIT $ NUMBER TOTALS INSPECTED BY1-1,4C-4c t4 CA c 1"ue DATE REMARKS PERMITEE (Please Print) LOVETT JOHN T & CHRISTINA L J PHONE MAIL ADDRESS PO BOX 110688 ANCHORAGE, AK 995110688 SIGNATURE POST IN A CONSPICUOUS PLACE AT THE JOB SITE INSPECTOR COPY DATE SCHEDULED 12/31/2014 TIME 12:00 am INSPECTOR SUBDIVISION ALYESKA BASIN #6 BLOCK/LOT/TRACT BLK 27/ LT 1 / INDICAT - NORTH (I-• WV L 1 of 1 7 1, \Z" o �_ • I s Aili ; /I ►,„J 5 I STA 19 fqz :' /10,1r1 I : .-4../ Iw Sffrzete° . N -- --- U rsa "C --Ni - _-- Pr P Lcr L /-0+1 SIZE MAIN: -3 \\ 1TYPE MAIN: b; p DEPTH AT MAIN. J i '/� V t AT PROP. LINE: ' CONNECT LOCATION: COMMENTS: I l /?C! ,4a- D Ff-'Ca., m4,N TO l)Pc PL 2 Ty ,L/,vt z /Ty D/ P INSEPECTED BY: DAT ).2//s 4-44441 OL/vc MUNICIPALITY OF ANCHORAGE WATER 9 1 1839 .600---,,,,, CONNECT PERMIT • • 8-7-91 11Wirri j'hyDATE OF APPLICATION o. SCHEDULED COMPLETION DATE 12-91 X SINGLE FAMILY WATER&WASTEWATER UTILITY ❑ MULTI.OWELLING 401 W.INTL AIRPORT RD. No. APTS PHONE:564-2762 ,,, 0 COMMERCIAL ,� LOT/TRACT 1 BLOCK 27 F SUBDIVISION ALYESKA BASIN 06 i TAX CODE 076-071-09 GRID AS-BUILT No. 4 STREET ADDRESS ALPINE AV OWNER JOHN T & CHRISTIUA LOUETT PHONE v. MAIL ADDRESS P.O. BOX 110688 ANCH AK 99511 _ CONTRACTOR: REDMOND ASSESSMENTS 9 EPAIR EXISTING SERVICE :r 'ON PROPERTY ONLY O To be levied upon connection >1 • O HYDRANT ONLY 0 Main extension agreement ,rfi. O MAIN TAP-TO PROPERTY LINE ONLY 0 Improvement District ''- (MOA or State Row Permit required) 0 Extend connect agreement ;'O MAIN TAP&ON PROPERTY CONNECT 0 Pending ,i (MOA Or State Row Permit required) t'' 0 R-O-W NO. 0 Paid J" PERMIT ISSUED BY: CONNECTION SIZE / '� CHARGE $ CATHY , INSPECTION FEE $ 3'+.00 -0 PAID ❑ CASH i i PERMIT FEE $ 5.00 0 CKtf REIMBURSIBLE INSPECTED BY: v NUMBER DEPOSIT $ LA, -J , //LCA.e5 TOTAL $ 39.fl DATE: SI a 9/ REMARKS: h S 5 sem' PERMITTEE(Please Print) b-�. .i 7 L 1' v'r PHONE 4) ' . ' - t MAIL ADDRESS % 44 l 0�,mr�� I HAVE READ THE CONDITIONS AND REGULATIONS ON THE REVERSE SIDE OF THIS PERMIT AND AGREE -sx TO COMPLY WITH THEM. _ n i. PERMITTEE SIGNATURE T'! POST IN A CONSPICUOUS PLACE AT THE JOB SITE ;:.' 31.121(Rev.11/89) AWWU INSPECTOR r• ir 'til SUBDIVISION: i9i/C_Itt. &Ii cithri%v1f1 •1k-‘ I BLOCK: 27 l LOT: / ^ r s SIZE CONN. "3/y El DOMESTIC ONLY 0 BOTH FIRE&DOMESTIC SIZE CONN :k�is CORP STOP ON TAPPING SLEEVE 74;10 FIRE LINE ONLY 0 FIRE HYDRANT ONLY , CURB STOP C TO C TAPPING VALVE t�T; FT.COPPER PIPE DATE OF TAP / / BY X X M J TEE `�' 7'/."or 2•'KEY BOX SIZE MAIN El ALLEY ❑ STREET ❑ EASEMENT M J VALVE f / I/ FT THAW-WIRE TYPE MAIN: EXCAVATOR: FT D I PIPE �¢i THAW-PLATE/NUT DISCONNECTS: ❑ YES ❑ NO SIZE OF DISCONNECT 5••VALVE BOX COMPLETE r4 KEARNY CONNECTOR COMMENTS TIE RODS EYE BOLTS OTHER KEY BOX LOCATION i"WASHERS Y.•NUTS IV TEST TAP MADE ❑ YES ❑ NO i_Y OTHER 2;f r,. 1 (''\ ^�l Y:' lts INSPECTION REPORT "' T---------"'-----o ❑ LINE BLOWN OUT ❑ INSULATED ❑ K B &T W -OK AFTER BACK-FILL C�). CDN sz- ❑ OPEN BORE FLUSH � ` i�i'�: 7 {k. ❑ 200 LB TEST I SS L ❑ MAIN CHLORINATED ! / ,�J. "Ik ❑ CHLORINE FLUSHED ,'M•.: DI [ OK TO TURN-ON ❑ DO NOT TURN-ON 7 • / fi... COMMENTS. SVidb oc t i$ 3S'N v4 SW(4/19.1111I r�' . t Pi(i--C3' -A/h/�„.,p c amt LA--. A;, 52 14,,,i _ D Gm.r y? INSPECTOR ./• om I" 142DATE dj ' vc/ ql i Ir F r c r i-..•.terry+��5.y_,�,q�, "al•] �S.F;� '.,'�y{tuN�+'�•u� '1' xt"•r i'Y A: ,.. .v...r•,N�)....i, ,:.x tN2,1-3:i.40::.roW4ki::' 0l.D:•iirttt S°.ry.ilkki}Y:r 0>=i:c�:"ri•�':1y1��t1.•i?.k« ':'*i'>t�' '%Rimi3w lix/d31S�4£.�z.[igt.` rfsa ;:7hlNoy .alis'}b1Sr`.�l'Lrr..'0'•x6V.§ •.Jt�,:i:. ,th.i:if MUNICIPALITY OF ANCHOAAGE WATER 9 12204 CONNECT PERMIT P 14. A kW 1%'‘t'ti • �.� 14/31/91 • •.� i7 I1�+.' DATE OF APPLICATION • �1 11/91 a SCHEDULED COMPLETION DATE ' WATER&WASTEWATER UTILITY O SINGLE FAMILY ❑ MULTI-DWELLING 401 W.INTL AIRPORT RD. No. APTS • PHONE:564-2762 Xy l 27 0 COMMERCIAL LOT/TRACT BLOCK , SUBDIVISION Alyeska Basin M TAX CODE 076-071-09 NEW GRID AS-BUILT No. x • STREET ADDRESS Alpine OWNER Lovett John I & Christina L J PHONE s MAIL ADDRESS B.O. Box 110688, Anchorage, AK 99511 3' CONTRACTOR: i ASSESSMENTS 0 REPAIR EXISTING SERVICE h O ON PROPERTY ONLY 0 To be levied upon connection ',i viol HYDRANT ONLY "O MAIN TAP-TO PROPERTY LINE ONLY Main extensionementDistrict agrcerr',@�J ��J (MOA or State Row Permit required) Improvement ;r O Extend connect agreement O MAIN TAP&ON PROPERTY CONNECT (MOA Or State Row Permit required) O Pending 0 Paid 0 R-O-W NO. 3/411 PERMIT ISSUED BY: it CONNECTION SIZE CHARGE $ _ Sandy INSPECTION FEE $ /C ❑ PAID 0 CASH ' PERMIT FEE $ ❑ CKN REIMBURSIBLE INSPECTED BY: NUMBER DEPOSIT$ -? 8890-3040-0015 Ft/C: j TOTAL $ - DATE: It: REMARKS: PERMITTEE(Please Print) PHONE 4*, MAIL ADDRESS ,,Z I HAVE READ THE CONDITIONS AND REGULATIONS ON THE REVERSE SIDE OF THIS PERMIT AND AGREE k". TO COMPLY WITH THEM. iii PERMITTEE SIGNATURE `} POST IN A CONSPICUOUS PLACE AT THE JOB SITE 3t-121(Rev.11/89) AWWU INSPECTOR `i' • .,-.". .. ;',17.17•1h''4:V-!S,k;•:ie3Fi ill'w.,9.?R,K~i?,wT,TAttonaiz4r•�.r�.i+�ry:.•+r-+w'.� .,•.,« ...- _._ fot SUBDIVISION: A IVj k.{ 11 S ;n I bLUVR: 12-1 I LOT: SIZE CONN /4t ® DOMESTIC ONLY 0 BOTH FIRE&DOMESTIC SIZE CONN CORP.STOP ON TAPPING SLEEVE . , 0 FIRE LINE ONLY 0 FIRE HYDRANT ONLY '40$ CURB STOP C TO C TAPPING VALVE X11'1 FT.COPPER PIPE DATE OF TAP to /1i �9 I BY -AA,(4•. JV r X XM J.TEE . ti 1.4-or 2"KEY BOX SIZE MAIN 53•rp 0 ALLEY ® STREET 0 EASEMENT M J VALVE Ni' c. FT THAW-WIRE TYPE MAIN OI` EXCAVATORLk)`� (0,Slr, FT O I PIPE tt THAW-PLATE/NUT DISCONNECTS: 0 YES 0 NO SIZE OF DISCONNECT 5"VALVE BOX COMPLETE KEARNY CONNECTOR COMMENTS rr� _ TIE RODS EYE BOLTS o'W . 4- £ sk- Pic ;4.4 OTHER KEY BOX LOCATION S L A v �c by I •r v v:'WASHERS ."NUTS ;o. {:1 TEST TAP MADE 0 YES 0 NO �.t OTHER '1 A\f.'Ne ' INSPECTION REPORT • L N SO ❑ LINE BLOWN OUT / / 0 INSULATED vi 0 KB 8 T W -OK AFTER BACK-FILL i r / D / ❑ OPEN BORE FLUSH I I �% 9 200 LB TEST I I 11 w 0 MAIN CHLORINATED l — . j ❑COMMCHLORINEENTS. t FLUSHED I I _ ] ( 0 OK TO TURN-ON 0 DO NOT TURN-ON t' Z — 2. `- , r3--n INSPECTOR. C--1-0.c i\f?... DATE I1 . .. - .e+ -ti.-....'-.:.i:: -'...t.:-CN)7.St iV;~i•.°T;2._;4;',W.4 3N' .Q.;Y' V,j}' MUNICIPALITY OF ANCHORAGE SEWER 81 0327�' ` CONNECT PERMIT o?a � Gl s , 3 ., rcp! DATE.OF APPLICATION ff-11-'x/ - WATER a SEWER UTILITIES SCHEDULED COMPLETION DATE 19 3 I .c' 3000 ARCTIC BOULEVARD. • 0 SINGLE FAMILY PHONE-27777622 v ❑MULTI-DWELLING --------No.APTS � D COMMERCIAL LOT/T.RACT nn 1 _/,BLOCK /j 0 INDUSTRIAL SUBDIVISION_ 4i c,c Ka c.(S I n4* (l) TAX CODE 076--OW-OQGRID DRAWING No. ' BUILDING ADDRESS A Ipt n-e A-V 10_ .' OWNER PHONE MAIL ADDRESS CONTRACTOR: ASSESSMENTS ; . ' (License abond required) ❑ Pald previously • DON PROPERTY ONLY 0 Main extension agreement [AMAIN TAP-TO PROPERTY LINE ONLY ❑ Subdivision agreement' • ❑ Extended connect agreement ❑MAINTAP&ON PROPERTY CONNECT ❑\ending-AMOUNTS L- ii0 k?O-7 PERMIT ISSUED BYL CONNECTION SIZE LIII CHARGE 4 A/c_ INSPECTION_ FEE ; 0 CASH 0PAID k PERMIT FEE .0 ❑ CO IREIMBURSIBLE INSPECTED BY: NUMBER DEPOSIT t 1d_ TOTAL s /V G DATES . - PERk (PLEASEITEE PRINT) 4, °1VAA S, ADDR. T C 0 0 __ �' .+1: _Q1VV. • PHONE: 1 HAVE READ THE CONDITIONS AND REGULTIONS ON THE iREVERSE SIDE OF THIS PERMITAND.AGREE TOCOMPLY WITHTHEM Y PERMITTEE SIGNATURE V ' 4.3 POST IN A CONSPICUOUS PLACE ATTHE JOSSITE F. MUNICIPALITY OF ANCHORAGE WASTEWATER 9 .1 1398 Y liWiria o x;'34,' CONNECT PERMIT V* DATE OF APPLICATION 8-7-91 • SCHEDULED COMPLETION DATE 12-91 • ipe 0 SINGLE FAMILY ' =s WATER&WASTEWATER UTILITY 0 MULTIDWELLING ' • 401 W.INTL AIRPORT RD. PHONE:564-2762 • No.APTS4. 0 COMMERCIAL LOT/TRACT 1 BLOCK 27 s SUBDIVISION ALYESKA BASIN #6 d TAX CODE 076-071-09 GRID AS-BUILT No. '' STREET ADDRESS ALPINE AV OWNER Jolla.T. & CHRISTINA LOVETT - PHONE MAIL ADDRESS P.O.. BOX 110688 ANCH AK 99511 CONTRACTOR: REDMOND ASSESSMENTS O REPAIR EXISTING SERVICE • MON PROPERTY ONLY ❑To be levied upon connection ' O MAIN TAP-TO PROPERTY LINE ONLY O Main extension agreement �:' ' ti Improvement District , +. (MOA or State Row Permit required) p Extend connect agreement " O MAIN TAP&ON PROPERTY CONNECT g a (MOA Or State Row Permit required) CI Pending O R-O-W NO. 0 Paid •t CONNECTION SIZE 41' CHARGE $ PERMIT CATHY ISSUED BY: INSPECTION FEE $ 45.50 `E] PAID ❑,CASH.- fi PERMIT FEE $ 19.50 CKNL' INSPECTED BY: -`•>`) 0 REIMBURSIBLE : NUMBER DEPOSIT$ { . TOTAL $ b5'90 DATE: 24-- �I a REMARKS: •'i PERMITTEE(Please Print) -76/4/V T. L UV E-/ I PHONE 3 3 r , MAIL ADDRESS Jff&(�•f ✓k 7:/4-4-1%!G/fir•V 1 L-il7/- •t ' l:JC _ ' I HAVE READ THE CONDITIONS AND REGULATIONS ON THE REVERSE SIDE OF THIS PERMIT AND AGREE 4 TO COMPLY WITH THEM. ''.-- t✓ /% PERMITTEE SIGNATURE POST IN A CONSPICUOUS PLACE AT THE JOB SITE r 31-122(Rey.11!89) AWWU INSPECTOR • 03 • • �.. ..�••i�h IT r.-.��V. '1'^,yi�r �" .lini's'! ;eile.'1:9�'F�F.�tite..1:J..-uc.m+zvv...,.. ,.. :� �� i :s.. trtii':. 4 AIt� SILA 'Bps $i!i j BLOCK: Z 7 LOT: !!.';.1A.4_: t SUBDIVISION: •y� /Ga "� .-7 l )17 I I/ -;.L-44 46441 I Yf. Jxx' T.J. R.0. ct 11116 Oz :t n,h Pio. �. Y.' w :,f 3 l,: `' U J \ ;-i o q Q FtLp=- j' Z I W. 3 h-t y 0P.orr- N. P- - N4 ,..... I 4a,P 1 Sru-'u OkAwr .1 . 1 PO Pi OF— AUE. ;: \1\ .r. 1 'I LINE P IPRO . : SIZE MAIN: TYPE MAIN: 1DEPT AT MAIN: AT i COMMENTS: 40 1,,»i. •t CONNECT LOCATION: A 1 �*->�e:.� ROC— L',ar>J.LC.7- L `/z ' .DAF. ' AT 5-1-1,.:3 (14.....1—c.(14.....1— INSPECTED BYT *f.M DATE:j Y - Zit '" i d_ e' 7 . 4. :tit , o- .v .X.4 {gf0..'M1;t:.�oa,;. _ .. _.•..• ....:.<...n:..!,. . ..;k:-..pg, '.S:4 � _. :f+,t.'.fi�.'.....`S�e..?�1 .! ..a'�a:.:,_. ~i`. ...r.?2?�?'..i:,:`�`'.'.�iG7.,:�..l:i N:r.�Al:' ,�� . ASS.:,. . �. ter- z �y��"K4 11;,`��y, .,,,,dt w,9_4,10,wg op-.S�iw F.idiv ` .).. 4i r:is ?nix i-T: r .mgo YnOAi � 410411"41ip, •> TAX CODE No.z977 -07/ _09' GRID No. 7 17 ,-7cv ' MUNICIPALITY OF ANCHORAGE — SEWER UTILITY PROPERTY: NameA dress Acct.No Plat No. Subd. '. e Sp 4-til-/.7 -#4. Lot / Block Z' Residential ❑ Commerial 0 Industrial 0 No. of units CONNECT: Main Tap ® On Property ❑ Permit No. .gl .03Z'7 Size V Type Z7/A Drawing No. Size Main .9'' Type .L7/P Depth at Connect Insulation ❑ Cleanouts Type Connect Agent Inspector Date Comments Connect Location IASSESSMENTS: 1 L.I.D. No./-/ Private Dev. No._ —Subd.Agreement ❑ No. Sewer Agreement O No. P.T.E. O Roll No. DYE TEST: Positive ❑ Negative ❑ N.S.A. ❑ Date - Page No. M.H. No. Billing Cycle Tested By c Comments —. ^`' ~,_ ~ �_' .-„,........,,„..„_....,,..c.,...,,,,..........__._,_ ^ "ON PROPERTY" Service Line Location By Sketch = ' Show Location of Control Manhole 0 411,4 co STREET ALLEY / 7 '';'(1 � �� / . N c27- ^� . '� | / / . ��'/ �� Comments / / II ,,�,, /�� ' ��/� 70 /~'7-, '` (� ! ' x�.� / /�/6 �� ',, ",r , " ' ~�'' MUNICIPALITY OF ANCHORAGE WATER & WASTEWATER UTILITY /6747--Z Date: Cycle FIELD RECORD Address: Account No. /44119 Su : � Blk: c:27 Lot: / K.B. cation: 0 Alley 0-Street–-- — 76, 6-7/- O9 Sewer Connect: Stub-In r)rgJ ❑On Property 0 to Data Nature of Inquiry: 1 / 4,74 Date:/Qr� Service Rep:,�� Field Report: \\ gib) - / Q`�=�.y o �`$�kv� to—\3-42 \J Date: Field Rep: 31.043 (Rev. 6/02) • MUNICIPALITY OF ANCHORAGE WATER 9 1 1135 . �,N. CONNECT PERMIT ( 'W' -;1111lft. DATE OF APPLICATION 5-1-91 a SCHEDULED COMPLETION DATE 9-91 O SINGLE FAMILY WATER&WASTEWATER UTILITY O MULTI-DWELLING ! 401 W.INTL AIRPORT RD. No.APTS . PHONE:564-2762 ❑ COMMERCIAL LOT/TRACT 11 BLOCK 27 :, SUBDIVISION ALYESKA BASIN 07 ;r TAX CODE 076-062-41 GRID AS-BUILT No. NEW STREET ADDRESS ST. MORITZ sr OWNER SHERMAN JEFF M PHONE MAIL ADDRESS BOX 870 GOAWO0D AK 99587 0870 CONTRACTOR: ASSESSMENTS 0 REPAIR EXISTING SERVICE g- U ON PROPERTY ONLY 0 To be levied upon connection O HYDRANT ONLY O Main extension agreement A O MAIN TAP-TO PROPERTY LINE ONLY Xp Improvement District WED 389 (MOA or State Row Permit required) U Extend connect agreement O MAIN TAP&ON PROPERTY CONNECT 0 Pending 4 (MOA Or State Row Permit required) y. O R-O-W NO. O Paid 4 CONNECTION SIZE 34/n CHARGE $ PERMT ^��1 �BY: y i INSPECTION FEE $ Np1 0 PAID 0 CASH -k PERMIT FEE $ ❑ CK,Y REIMBURSIBLE INSPECTED BY: r,i NUMBER DEPOSIT$ .k: wo08890-3030-0015 n/c :,- TOTAL $ DATE: 4• c 4 REMARKS: c 4 A. PERMITTEE(Please Print) _ _ PHONE MAIL ADDRESS A 1 HAVE READ THE CONDITIONS AND REGULATIONS ON THE REVERSE SIDE OF THIS PERMIT AND AGREE ' TO COMPLY WITH THEM. ., PERMITTEE SIGNATURE ' POST IN A CONSPICUOUS PLACE AT THE JOB SITE '7 31421(Rev.11!89) AWWU INSPECTOR ..+ ty r,: ?ii : 'ii:i3F.;;l-?'e:90„:.•FMe? .:i?:.sF h...:, ti13K ...twrF.".w:w s».r.� ...,................-..._ r SUBDIVISION: 4/ Q 'k c. '& s,-, '7 I BLOCK: 21 I LOT: ) I car , SIZE CONN �</�� `/ DOMESTIC ONLY 0 BOTH FIRE&DOMESTIC SIZE CONN CORP.STOP ON TAPPING SLEEVE r 0 FIRE LINE ONLY ❑ FIRE HYDRANT ONLY CURB STOP C TO C pp TAPPING VALVE 'oil• FT COPPER PIPE DATE OF TAP 1 /3 /91 BY LA.)a c C n Sr'f X X M.J TEE ,'•' ?%:.?%:.:.1'/ Q'• . "or Z"KEY BOX SIZE MAIN: O 0 ALLEY ® STREET 0 EASEMENT M J VALVE 1` 1 -- �" r FT THAW-WIRE TYPE MAIN VW EXCAVATOR (Ai,�pv.P (in rk'r FT D I PIPE : THAW-PLATE/NUT DISCONNECTS 0 YES ❑ NO SIZE OF DISCONNECT 5"VALVE BOX COMPLETE 6 KEARNY CONNECTOR COMMENTS TIE RODS EYE BOLTS F§ OTHER KEY BOX LOCATION .C61r�ron-. NWt-o(-- O� CTc.;a.5e Z-95� WASHERS I."NUTS v. n .-1 W CS'of -cat TEST TAP MADE 0 YES 0 NO ,f 10 L 1\ 12 OTHER ;; (3-99 J INSPECTION REPORT "4% = J Y S1/4,'`e ❑ LINE BLOWN OUT / / ❑ INSULATED �.. I 0 K B &T W -OK AFTER BACK-FILL ❑ OPEN BORE FLUSH / / . z ❑ 200 LB TEST / I 'r; 11 u. 0 MAIN CHLORINATED - / / It' J0 CHLORINE FLUSHED / / ' I 0 OK TO TURN-ON 0 DO NOT TURN-ON ki rf. Z I J4. 1 — \'? COMMENTS 0.• 01 5 . ,1,0, I INSPECTOR: G.0,-(ne DATE / / , Y i.-.., ......-wv.iM1P i`:.-�.2!-i.YJ.WC1[:CSI:'<;�.grSialgnYen:7z ..0453TeM' t.";4 } ' ✓ n :::.. v ,�C< '1/444 ::',. MUNICIPALITY OF ANCHORAGE ' SEWER - 7 0839 4y'�`", .�., CONNECT PERMIT ii/ 20/28/87 ar-k -sly,+r`�J�1 1-4:DATE OF APPLICATION �L p'�orn� ° SCHEDULED COMPLETION DATE 12/3 /87 y .4, WATER &WASTEWATER UTILITY ESINGLE FAMILY -,s�, 3000 ARCTIC BOULEVARD 0 MULTI-DWELLING i, . ' PHONE 786-5557 F No. APTS 0 COMMERCIAL LOT % 11 BLOCK 27 ~;t, SUBDIVISION 075-062-41 7787/88 '::.4.,.. TAX CODE GRID AS-BUILT No.St STREET ADDRESS ' 1tZ Dr�9a ' 'xlZ' Jeffrey Sherman '` is• OWNER PHONE BOX 870, Girci*oocl, 1K 99587 MAIL ADDRESS sem; CONTRACTOR: ;(7113--act ASSESSMENTS ".• W, ON PROPERTY ONLY 0 Main extension agreement "‹, teiy ❑ MAIN TAP—TO PROPERTY LINE ONLY 0 Improvement District 'it, (MOA or State ROW Permit Required) 0 Extend connect agreement :t.. ❑ MAIN TAP&ON PROPERTY CONNECT 0 Pending ((MOA or State ROW Permit Required) rn PERMIT ISSUED BY: '? ` CONNECTION SIZE CHARGE $ y ti INSPECTION FEE $ 10.00 PAID CASH • .14, PERMIT • FEE $ 5.00 0 CO_ 'ri REIMBURSIBLE INSPECTED BY: ;,,.:--`� NUMBER DEPOSIT$ _ 1 C` 9_l_ ,"';;I,. TOTAL $ 15.00 DATE: ` $? +...e:• REMARKS: , N` v' j�:.tb: PERMITTEE(Please Print) PHONE 35. MAIL ADDRESS _ I HAVE READ THE CONDITIONS AND REGULATIONS ON THE REVERSE SIDE OF THIS PERMIT AND AGREEtwit TO COMPLY WITH THEM. Jet - _.)hc-'l-i'v/i,•( _ . sr,�r , • PERMFTTEE SIGNATURE .1. _ 4 POS80-021 T IN A CONSPICUOUS PLACE AT THE JOB SITE AWWII INSPF1.Tnn ...".• a ,',}..aL),A^:;, 'v.., i,k,r w1itii:a t,.G.v.,..,e'L- ,•r..3..' ..,..,,... _. ;6,. # rr >UBDIVISION: A ' k� &,,:t3j�J BLOCK: I LOT: �I '�': :701 NIA 0, STREET / 1 1 V' cc cv w A Z 1. O .ti k .------------sj ) U NitI — W � C.3 I '% Zr„ } M j INDICATE ` f NORTH � 0 w '6; SEWER SERVICE LINE SKETCH 0" . f SHOW LOCATION OF CONTROL MANHOLESICLEANOUTS � . lu% I,I , 1 ' c: IP SIZE MAIN: TYPE MAINTO1 1 CONNECT DEPTH AT MAIN �� _ CONNECT DEPTH AT Prop. Line '4 CONNECT LOCATION: $'7 Noti+ln a4 Ct4"� 0 ' 19 5,ttst o�_61 E -2 y`to_- — COMMENTS: . . • . Inca. • • R v; - COW 4 e cry_-r8.f_A- --VA-ca-*b)- IN)oT Rocker- u,p -}-t! • Avy s 4,c_-*t t.ga•e - - _ - - -- - INSPECTED BY: _ _— DATE: I I '-qo -27 rl yt.,, a', :�Fd4'�, �sy� j4a••y:;:,:.?:;.;: vi- <W.�`aa y;S.'�;c,- i•v°;doi �,1 �!_,'fE;,�1�1'o�,j�{y. kY'a�� "� • :`� ��r •y�y� a; ,�G�' d��^.vyi9' 1.-."' f '�,�� -t„•�i(.1.. � s: !i S :dCh .y*w.,,�, l i�C�i,�;.a �N -c�� `J:.� �t =sNY. a [ `.1� i•t�' v. rS'��•y'�� :i' !`�..+ 'c•i.�:. .,1 :SQ S 8�.i`; x '2�^•Sw�i �. Y = 7 �..,:1'u �h %ti �• -7%0. � j Jx �'L,by .5�� •r^ ')JR. ? •gib`,.:v.'t•�; ''•1141" �'`-:. t- S te'.., . . ' :1440+,' A.._. r +^ % . i-1 I , �j.j +{?� � !` Ti � n .yz� �n�{?y�A' y-�S ai' y 3 „ +',�� „ `.; d t f 1.'+F.. . tt ii Phi ~�f, :r��rc k/ ."t vii tiL 4�1_..r '.,-. Y. .i... IE.. x .t.. ;r Y .r 9-.?',—;kl" ? .� re`w')l '�s!`s r ' . 4ts5 st i; >�s.« ✓-y3:Jk ) ',,,,47:. r.-' '„ .. v, ti,�,.?��!<�, :g^>s c. :i%�, rJ--. r^ Y) S', r ✓ r�� 1. P+' t!�' .,r i 4.4 Pd9 ti. .:.t .x a FS; r :•/ q'),y;•,1{•;,0 ;116 .'J 1 ..ties-�' .:1 ayrt• Pai.r .s�i`(,�r R o, � n�. `le r�.,S rt'! :1t ! ° ': f :pl a ��`� +e; % ..�1��y•" {, y�� t •� t'o�"1as{rti '�';'4 �'�•�.'; ,' ),•.•a.%*,,, \r+�q��'..t'�,�, fG�!a:^•��.;,s, �.,X�' �s �a•,t�. �•. • •r^t' . e ZP,.. •: 0,:Jr,t (( '• -•r '-4-o:°. 4 �•;L.,,`3,Aw,,i'�': ,")'•',rf`'h.,..ss y,e,: ,,, ,`'•a:r �•; re— 44..f, ' '14s:fi: _bV� �h`' Y' - 11 t_ 'w .r 't•n.. .A.F .r, .,,�� h �R e. ,t )1 `WW `IFJM T i t� :,,. .7:�i '•"t y,.<,, ..ir,"'h:e„?„r:5;,,r,�y3 „L'ra 'ai.•4�t::..1.s.+i,,.,• ,.. •..,:„. . Y, �� ,. ,. .0 t.?:Wt;'ih,9. !..„...,..„,,,.,:,,,:.4„,,,,...,,,,,,,,,,,,„,,,,.....„ m.• j r 4 s l[t tige¢� S; H+te• y <y X. ��`^7' 7- �. to ; V �,, ,.. 5�t*�5},; r'.„ a i7;$? Al <yAt 44 .' .�r ••t � ',[7• ..i 1 ,' a. - `/+*- pT,�- it'y1 •,� t!.✓1� .. „n � � Y.� t `.��k�1��''C=•r,•tYy' �� 4 • X�S g rNiS ,r)�kl �• r *'' y 1i'y�• Y'J titgy.!1, -l.•' '�' .S'?` r' ,�,'(,; psi.`!` '7.. ,.~/.,6 a d,•+' ` ayl✓` � MUNICIPALITY OF ANCHORAGE .,..f,r.;�A} k. �r WATER CONNECTION—Location Recordr� b r„ ACCT.NO. 0 �c—, ,,2�4/ ' l.;• '^,(r NAME 1 d �'•�” 7' `1204/ 'C1`;•4 �. Y W Od ADDRESS fZ L. 0.4.� LOT J BLOCK 7 ADDITION��=yes�Q c//,ee/e/e s ys>�.` :0f;1S 1 r/ //a �cc 7 .' SIZE CONN. �/ ell DAT( 7--%0 NEW CONN.t�t / REPLACEMENT CONN. >{ .+7;.,4' LOCATION: ALLEY 0 STREET 0 TYPE OF MAIN ••)!:t'�:" )SHOW SKETCH ON REVERSE SIDEsZ .q.!i f' CORP STOP THAW PLATEPERMIT NO. 111.0.i CURB STOPCTOC W. KEARNY WIRE CONNECTOR :1Xb• • CURB STOP C TO I OTHER: CONN. :'r'i},•e,t/ CORP CONNECTOR INSP. P I9? COUPLING C TO I PERMIT at AtC;�Int X BRASS BUSHING 'qd�'E i TOTAL = ': '4-AP, X GALVANIZED BUSHING COMMENTS: BROKEN MAIN,EXT.CONNECTION, •44. ,� '1,1' EXTRA PIPE ., :t"•x�, 2 PART UNION Y tiA CASING,DELAYS,ETC. FT. @ wVi... 3 PART UNION h ii: LDO 4c'S L'R v o Ae O.q,2 PI LA ite l'.V,.y.2 SERVICE CLAMP X .;; Y�:f ee/Asti2 S Sic n? ❑PAID PREV. N. ,til:;r• COPPER PIPE ❑W.M.# ;ilk 1 1/4"KEY BOX ❑PAID CASH ' �hy. 2"KEY BOX e V, 0 SUB AGREEMENT 4'I THAW WIRE DISCONNECTS % M .ft'i ALT. # ., '. LOCATION kin e.,4Y ,.114..—_ close EXCAVATOR 0 IMP.DIST.' r7 v APPOINTMENT TIME: # .' ° TIME READY: ''`•+%4 ❑ EXT.AGREEMENT t' BY CONNECTION MADE V .i .(, INSPECTED BY # 4 1ti�{. 31-058(12/77) :d•,.!...ti,L,f yt M1Gl..!Al/'1�v C 4,;.!gv,Vcc, m, ,s..1-v�a(,c(`w':3y1., .,, ,c'iX.,,,..snw— v...., ,.. �•�,• � 1 iii •�1:1f.' lX�.e'.S/. NL'fSY AY{!� l ,y]�4 • P. KEY BOX AND SERVICE LINE LOCATION BY SKETCH r(?� r° INDICATE ` NORTH if- y»• 4y • ALLEY '1?' '., STREET .' `. : p. rte. 47 41. fig1 M M. is N {s �;; q Wj 17VHA'', .• �g.' . r;' 31-058 (12/77) IAF ` • +• Va't!'S-r. re3 o e.F),lr�?.•{ rfl '(3�f� . t�,5.,. .Y.t• -C .,.Ey �<;,s-. 1:.56 }'� ,d ,.st • = •,.•- ,.- .7,v;`•L+ �` r-'4-;Y.. ¢' !n..l�.4,2 r+S •' • ,r� �`,..�3 491,42-?:, f'"`�:--- 't-c tit ' lr�'...i. :ty ' 4l ;„w.Y'. 2�•' ',j ,y '. •l�, • • yi,JY' .' ' 'Tv• : J/" • �. :!4.1"yj;.4 l'.1 ;;Ot: r�•or4' `f :�' ., • • •t° ,�d.�y .r: z, 1 •",Z• ',.' �4-,j ` '.. ..,*, `'t, �..,3•`S��Q. , ,? •9•..,. �,$ rIr ..i,. c'.y F„ 'f fk ,4i7i T: 1'. I?fags.g#t.lGt '';'..e A,I_ •,�� •rT ••h•... -..i.- (tS1 ,y,',.,1• •' :k1:.r•n, {' '•� d« .b) ,. o ial.:•. x t. ..y.. 'i , ..~f', "z`. :;y. ,.,„. ._v'iA.rs`?�:) ,5.1:...,&, .�.'.< .,�,,, (,��`. �..,�.✓, t;.,f, �nn"��. ti�.�at'±±��..'�#`r r .,�� ,•. ' ,t;',._,;,..%. '$� �'yy _ y�• e.,�r " �.f` Ti.•".'..,.!..,'7,..,-,.. f,^i b ,4.. '� �Ss�. 6�• •n. .. .4.i.; rnt3 r 3ti J a .....,_e y s. iP 1 f C. �CS .' w?jl'• } >'y>£xai)>(•';' �'• ••� {}'fi '{h rt3�y��' i ...• k �jfa ,�. -'�Sr ,.7�` 1 'r,�` ��2'• � �:. �' :f�,��yi',`= ii o .:4;AA., t' ^a.l e A. `4�r�t'n,„ 4 �g0,5Y •t,..'LiY :. • f 'S2' 'orir;,a5 .[�;' tt'Jtit.i ' w�'s,P,•°.4`LyOA0.!.S of»ate M-M•f`dr.t: '�1lri o •D• 'k .... ..Y•. =7 v `y� ! '1V 0 '4' :Z./ 4' .... y:. i''-.. A,t ..t �S•- .' f-'''',,,.." •a.2u_,s r:�`1Y�.'�.,,v'�`s,1 f7��+};�7t;?i.'Si..,+J�".: �.. _ 86 1 247 076-062-41-000 .!.SHERMAN• JEFFREY M& RMIT CRANMER .ALLEN A < BOX;•870 • e. GIRDWOOD. AK 99587 ' .TION 9-16-86 ALYESKA,BASIN #7 BLK 27 LT 11 PLETION DATE X SINGLE FAMILY ❑ MULTIDWELLING 0, -_ _ No. APTS. _ • O COMMERCIAL LOTfl XL.X ) I BLOCK 7 0 INDUSTRIAL -Ni SUBDIVISION ALYESKA BASIN 4 7 ; .s, TAX CODE 075-062— 1- 1 GRID7787%88 DRAWING No. LID 60-6/NE g.. r. BUILD NG ADDRESS ST. MORITZ DRIVE f• OWNER • .• . PHONE 'Y' MAIL ADDRESS CONTRACTOR: BrTA CnNSTTHICTTON ASSESSMENTS . Vi (License&Bond required) `. • tl O ON PROPERTY ONLY 0 Main extension agreement AMAIN TAP—TO PROPERTY LINE ONLY 0 Subdivision agreement 0. i r,.. (MOA or State ROW Permit Required) 0 Extended connect agreement O MAIN TAP &ON PROPERTY CONNECT 0 Pending 'c, (MOA or State ROW Permit Required)� v.'; ❑ R-o w No. LID 60-6 N. 4^ N/C�ea PERMIT ISSUED BY: CONNECTION SIZE CHARGES _ rN INSPECTION FEE $ 0 PAID 0 CASH PERMIT FEE $ O CKq 4, REIMBURSIBLE INSPECTED BY: x'. NUMBER DEPOSIT$ °~ W.O. #9884-4691-3524• I3/C** :. TOTAL $ _ , DATE: REMARKS:ALYE5KA BASIN # 7 LID 60-6 INSPECTED BY FOR AWWU: PERMITTEE(Please Print) OTTWATER ENGINEERS PHONE 562-2514 tk MAIL ADDRESS 4446 BUSINESS PARK BLVD. BLDG.# A, AK-99503 I HAVE READ THE CONDITIONS AND REGULATIONS ON THE REVERSE SIDE OF THIS PERMIT AND AGREE TO COMPLY WITH THEM. :{ PERMITTEE SIGNATURE POST IN A CONSPICUOUS PLACE AT THE JOB SITE Yrs 80021 IRur.11/85' AWWU INSPECTOR 1 P_},.. N'•{_iiqv 2 .eixy,i,xlvki.:m;it-`"i?'.,�:R:+1ciAv'%d'a:=•,er.._ -p. ...wox..„,- o.....,......z ... _ ;UBDIVISION: /JL.y5,q e.95/.1.) -1 BLOCK:-1 7 LOT: / / i{ l r, i; STREET I�EY 1i! o tl - � 1.4 cc II c NI Z' // '. thU MI 0. —1r.,-- tt4 AU r Z rt -1, Al iyi cc INDICATE w NORTH . RI :Icini J SEWER SERVICE LINE SKETCH y '; SHOW LOCATION OF CONTROL MANHOLES/CLEANOUTS / k GLS, c s „ a SIZE MAIN: S' TYPE MAIN: -0/f) . CONNECT DEPTH AT MAINa?v-- CONNECT DEPTH AT Prop. Line f:r CONNECT LOCATION: 4 ' .. -"9-Yr O,t= Nw /', fa Cv,e , is COMMENTS: #7886 - 5167/'.35-2 V _-Q.,-).0GE /1 S e N/ SS , S d SOl/Tvi `• 9Vchie/14 _4/P0-7 TNeQiny9L 5c d f To 8 D,P TiIIJ '9,eLr 9 I INSPECTED BY: AUL) /-/E%/�0277-1 DATE: 9 /36 ... .=:.M-_n, ". vti ..c74.. ;;s:irc,xP. "' al . .- t ., e„ •r, ;+ jy S .iln{ MUNICIPALITY OF ANCHORAGE SEWER 85 02973 r ...7 ' , CONNECT PERMIT ti, o leA/7/ * Y• 6DATE OF APPLICATION q7' / S '�n. „ • SCHEDULED COMPLETION DATE // V`, M1, WATER&WASTEWATER UTILITY SINGLE FAMILY ;t; 3000 ARCTIC BOULEVARD 0 MULTI.OWELLING PHONE 7a 73(x.-5=- No.APTS •)'- 0 ❑ COMMERCIAL LOT/TRACT 7 BLOCK l Z._ 0 INDUSTRIAL 4 SUBDIVISION 4Z. kits/«) # . TAX CODE 4 71--n Z 2 •Ot RID 7% -z k DRAWING No. 5rSC/ 7 y: BUILDING ADDRESS //l/G//dje /f a'e f1(f OWNER the (fr),(),0 PHONE MAIL ADDRESS .. CONTRACTOR: P, , - /!,. r r ASSESSMENTS (Licence&Bond required) 0 Paid previously `d, ty,ON PROPERTY ONLY 0 Main extension agreement V., 0 MAIN TAP—TO PROPERTY LINE ONLY 0 Subdivision agreement t t tt (MOA or State ROW Permit Required) 0 Extended connect agreement O MAIN TAP&ON PROPERTY CONNECT 0 Pending—AMOUNTS u-• (MOA or State ROW Permit Required) 0. PERMIT ISSUE' :': CONNECTION SIZE 1- I/ CHARGES '-------<�s -m—,., INSPECTION FEE $ /()•--- 0 CASH PERMIT FEE SINSPECTED BY: NUIMBURSIBLE i4l NUMBER DEPOSITS TOTAL $ (f:7DATE: q-9.5-16 • REMARKS: t L1 ' PERMITTEE(Please Pont) fT( E (, iUit I 1 VA AIL) PHONE 7 27- t!/ (-- MAIL ADDRESS 2()7 (.i) / i ti n /l ( ''''.ii I HAVE READ THE CONDITIONS AND REGULATIONS ON THE REVERSE SIDE OF THIS PERMIT AND AGREE ,} TO COMPLY WITH THEM:"' S ,, . , -_�- ,..'i \ PERMITTEE SIGNATURE )'•:t ePOST IN A CONSPICUOUS PLACE AT THE JOB SITE ,, AWWI I INSPFr.TRP Ut<.i✓.�'iKjJ':�J;w'7:°9+'✓"tiK.th`:.'=>“i:Z�.l�r. ..�1: .t'.. ,t.tiv»ro c, c .....-...__.. _ _ SUBDIVISION: I BLOCK: as I LOT: 2 149-eiglac,— STREET 11 ALLEY 4, 1 t I ,5'' �Y201aoSeoS\1 CC b I Z r 9 a V 1 Kpcts e 0 y 40 Coq 0 1 r z_ w¢ INDICATE 1 NORTH . 1 u) nI 0'r SEWER SERVICE LINE SKETCH ISH CM LOCATION OF CONTROL MANHOLES!CLEANOUTS ? r SIZE MAIN: "e TYPE MAIN:11re CONNECT DEPTH AT MAIN CONNECT DEPTH AT Prop. Line 9 CONNECT LOCATION: 3' / W-t31- o� �1 oWevQ �N-e..1 '” ' Et?s4' 0+ ill4.J10lo 7'78"24/ 1S' Tl}ort* oC1e.,ao 0Ltt, 9 'De.ey COMMENTS: N o S+i@u&c.4- IA*42_ 15 ,.) S'ff, ot+ h.S +`wt-e INSPECTED BY: )4 'RoNN``,\) DATE: 9' 5'$S SERVICE CONNECTION RECORD Lot 2 ` Die // 2/80 Block 22 Inspector_AIL,d /7/0// W Sub itionion or //A //1 7 �J/ . Addition (>- C1 /`1 �S/1'O Property Owner Contr. , I#7 &f1J2 2'CZ/7 %c, Address /7/y eie /e�./tec •. Water (J Size Permit Yes No i Sewer 1)( Size ¢if Permit Yes No A' H LOCATION SKETCH v • 3 k. • tzI si 247,86 t ,k 2 Swr9 fes 7ge se vice 26' SE X'ecvr! /8 "P/ge w /8,2' SS w /om /8"P'7e fi ___ __ _ .\\ „:.4, _ b.' r5 • TR P Q A/ J,: 0