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Home My WebLink AboutGRAHAM LT 11Graham Lot I I #012-181-17 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 Permit Number: SWO50125 Legal Description: GRAHAM LT 11 Design Engineer: 0000 None Required ON-SITE WATER SUPPLY PERMIT Initial Date Issued: May 18, 2005 Expiration Date: May 18, 2006 Parcel ID: 012-181-17 Site Address: 007310 BRANCHE DR Owner Name: ELSIE E. YADON Lot Size: 12900 SQ. FT. Owner Address: 7310 BRANCHE CIRCLE Total Bedrooms: 2 Permit Bedrooms: 2 ANCHORAGE. AK 99518-2572 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q 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 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. 5. The following special provisions. -THE INSTALLATION OF A WATER WELL SHALL MEET ALL THE ANCHORAGE MUNICIPAL CODE 15.55. PLEASE SEETHE ATTACHED SHEET "PERMIT REQUIREMENTS FOR A DOMESTIC WATER SYSTEM". ITIS THE BURDEN OF THE PROPERTY OWNER TO DETERMINE ANY EXISTING WASTEWATER PERMITS EFFECT THE LOCATION OF THE WELL. IF THERE ARE ANY QUESTIONS PLEASE CALL THE MUNICIPAL ON SITE WATER AND WASTEWATER PROGRAM AT 907-343-7904. Received By. �`� Date:le Issued B< --k Date: F I S /of 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/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 6/o9 - / f /- / -7 Permit Number SW ZD Propertyowner(s) L Y/iDdill Day phone 9D%733-zs3l Mailing address_Zip Code Q950y Site address 73/6 BRA��Cl/� CJ/?. /,I�t/CNo/✓4C Zip Coded Legal description (Lot, Block & Sub'd.) SOT // a,,Q4hfl l Su,8A/t//S/UA/ Legal description (Section, Township & Range) Lot Size /-* r '?/'0 _Acres4e Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only ❑ Well Only 9 Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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 o4ner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment� / (C2 O -F Date of Payment // Receipt Number: (m 7 -7 9t4 Receipt Number. (Rev. 09104) 1 LAT20A, LOT 209 BLOCK 1; BLOCK 1; GRAHAM S/D GRAHAM S/D *. I r LAT 19, LOT 18, LOT 17. LOT 18, LOT 15. 1 , BLOCK 1; BLOCK 1; BLOCK 1; BLOCK 1; BLOCK 10; CRAM S/D GRAHAM S/D GRAHAM S/D CRAHAU S/D GRAHAM S/D --WEST 74TH AVENUE_________ I I >LLJ I r \ A\ ��,I• � 11I i y,Ciy�j� 4 _ S\ GARNESS ENGINEERING GROUP, Ltd. ppm* CONSUCrARTS3'GEpERAL CONTRACTORS �... Al G Tg011 moN ■lll[ 101 M,(AtlR,LC, Mf 1010) Fel[ -�1T AY N womm wt PREPARED FOR. PHONE NUMBER: PACE NUMBEA: a ED YADON (907) 354-6176 1 OF 1 LEGAL DESCRIPTION: DRAWN BY: GRAHAM SUBDIVISION; LOT 11, R.A.L. TYPE OF WORK: DATE; SITE PLAN FOR PROPOSED WELL 5/5/2005 L�.o1AeI .... ........ A. mess TE: LOTS WEST 72ND AVENUE SHOWN A EL SERVE[ BY PUBLIC SEWER. I v, NOTE: THE OWNER OR DRILLER 'BLOTCKI MUST VERIFY THAT THERE ARE A. LOT 2A. 3; BLOCK 3; NO PLATTED OR RECORDED LOT 7. LOT e• s/D GRAHAM s/D EASEMENTS IN THE VICINITY OF cw/K s%D c BLOCK s%D THE PROPOSED WELL PRIOR TO DRILLING. 12�ELEGIRIGIL EASEMEtlL WEMEML n ----- ---- lDT 24. BLOCK 1; LOT 8. LOT 7. LOT 8. 3 BLOCK 1; BLOCK 1; BLOCK 1; BLOCK 1; GRAHAM S/D rn GRAHAM S/D GRAHAM S/D GRAHAM S/D CRAP" S/DLOT / Q QBLOCK 1; LOT 23.. N GRAHAM S/D�/ LOC LOT 4, CRAFW.1 S/D I / BLOCK CHAM S/D D7 APPROXIMATE y1 W/10,OPOSED NELC V LOCATION OF SEWER BLOCK 1: GRAHAM MAIN S/D LOT Z BLOCK 1: \\ GRAFALI S/D N ,G'1�'1°i� /LOT 13 Q I SEWER \ STAND eW_�y+ /BLOCK 1: LOT 14. \ /CwM S SEWER LUN \ PIPE G'�' BLOCK 1; ` LOCATKIH GRAHAM S LOT 21. BLOCK 1; �^ _ i� STAND PIPE--- T CRAHALI S/D ----- -- _ 1 ---- --� ---- — — — — — LAT20A, LOT 209 BLOCK 1; BLOCK 1; GRAHAM S/D GRAHAM S/D *. I r LAT 19, LOT 18, LOT 17. LOT 18, LOT 15. 1 , BLOCK 1; BLOCK 1; BLOCK 1; BLOCK 1; BLOCK 10; CRAM S/D GRAHAM S/D GRAHAM S/D CRAHAU S/D GRAHAM S/D --WEST 74TH AVENUE_________ I I >LLJ I r \ A\ ��,I• � 11I i y,Ciy�j� 4 _ S\ GARNESS ENGINEERING GROUP, Ltd. ppm* CONSUCrARTS3'GEpERAL CONTRACTORS �... Al G Tg011 moN ■lll[ 101 M,(AtlR,LC, Mf 1010) Fel[ -�1T AY N womm wt PREPARED FOR. PHONE NUMBER: PACE NUMBEA: a ED YADON (907) 354-6176 1 OF 1 LEGAL DESCRIPTION: DRAWN BY: GRAHAM SUBDIVISION; LOT 11, R.A.L. TYPE OF WORK: DATE; SITE PLAN FOR PROPOSED WELL 5/5/2005 L�.o1AeI .... ........ A. mess o Municipality of .anchorage .�0 _ Development Services DepzrL- mt 4�4� Bcil�i^g Sz.2ty Division On -Site Water and Wzstrwzter Proeram E' s. .,. 4700 South Brzgxw St P.O. Box 196550 Anchorage, P_TC 99519-6550 F-vw.ci. z--tchorzg e.zk.us (907)343-7904 PERNU T REQUIREMENTS FOR A DW&ES T IC WATER SYSTEM Permit. An application to drill a neer or replacement well shall be submitted to this department by the property owner or their agent prior to commencement of drilling operations for a single family water well. A permit for domestic water source shall not be issued if there is no existing or permtted on-site wastewater disposal system or connection to public sewer service for the property available, scheduled and approved. A permit for a domestic water system shall be valid for one year from the date of issue. Application. The application shall be on a form provided by the department. It shall be signed by the property owner or authorized agent attesting thSt the well will be sited, drilled and completed in accordance with standards and provisions in AMC Chapters 15.55 and 15.65. The applicant shall submit an accurate site plan signed by the property owner or property owner's agent drawn on an 8- 1/2 by 11 inch sheet (or larger if necessary) to a scale not smaller than 1 inch to 50 feet. The site plan shall shout: 1. Legal description of the lot or parcel. 2. Location of the proposed well. 3. Lot lines, roads, rights-of-way and easements on or adjacent to the lot. 4. Location of all proposed or existing structures on the lot. 5. Measured distance to all existing water supply wells within 50 feet of the proposed we!I site. 6. 100 foot protective well radius. 7. The location must be shown of all components of wastewater disposal systems. This shall include sewer trunk and service lines; sewer clean -outs and manholes; fuel tanks; curtain drains and out -falls; and any known areas containing hazardous waste or other potential pollutants. Also included are existing (or proposed) paddocks, kennels, animal enclosures or containment areas within 200 feet of the proposed well. The minimum separation requirements between wells and specified facilities or eras shall be: SEPARATION SEMIEEN FROrd WELL TO: M. N. SEPARATION DISTANCE 114 FEET Sewage holding tank Septic tank Septic absorption field Private sewer service line Public sewer trunk line Public sewer manhole or clean-out Hydrocarbon storage tank Curtain drain ?.nimal feed lots, shelters, containment areas Any source of potential contarh;nation 75 100 100 25 75 100 25 25 100 75 Attention: The well driller shall provide a well log to the properly owner within 30 days of completion and the property owner or the well driller shall provide a well log to the Dept. of Health, & Human Services w,Wn 60 1 1 I I I I I