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HomeMy WebLinkAboutFAIRFIELD LT BFairf ield Lot B #075-093-33 -CeftJ rDri�rin�, Zlic• Well Log 1�atcrl'Je(f Dri(l�t+�arafPun�Sr»•i: nnc(, -aqc. tLras-4 (ao7) 3x5-1'593 Drilling Stanad:07;272006('omplctrd:0%;31 2006 Citvaiut;ncr Sulxliaasc BLOCK Dl Pru( 0%%wr Name& Addoss:Anderson Kerr Girdwood Fairfield B P.O. Box 736 Site: 266 Hottentot Mine Rd. r_t.,t...,.t e4 UCIRR7 I Meridian Township Range Section ._. %a of — __ % MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 Permit Number: SWO50368 Legal Description: Fairfield Lot B Design Engineer: 0000 None Required ON-SITE WATER SUPPLY PERMIT Renewal Date Issued: Sep 26, 2005 Expiration Date: Sep 26, 2006 Parcel ID: 075-093-33 Site Address: Unknown Owner Name: ANDERSON KERR Lot Size: 14100 SO. FT. Owner Address: PO BOX 736 Total Bedrooms: 2 Permit Bedrooms: 2 GIRDWOOD , AK 99587 - 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. I 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, seated, 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 SEE THE ATTACHED SHEET "PERMIT REQUIREMENTS FOR A DOMESTIC WATER SYSTEM". IT IS THE BURDEN OF THE PROPERTY OWNER TO DETERMINE THIS WELL INSTALLTION WILL NOT AFFECT THE FUTURE DEVELOPMENT OF THE SURROUNDING OR EXISTING LOTS. WHEN THE WELL HAS BEEN COMPLETED AND SATISFACTORY WATER PRODUCTION HAS BEEN DETERMINED, THE WELL DRILLER SHALL PLACE AN APPROVED SANITARY SEAL ON THE WELL HEAD AND NO PITLESS ADAPTER OR PUMP SHALL BE INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL SYSTEM HAS BEEN CONSTRUCTED. IF THERE ARE ANY QUESTIONS PLEASE CALL THE MUNICIPAL ON SITE WATER AND WASTEWATER PROGRAM AT 907-343-7904. Received By =,'�11 Date: d Date: Municipality of Anchorage Development Services Department \r' Building Safety Division ' On -Site Water and Wastewater Program 4700 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 75 - 6q,-3"33 Permit Number SW ZD Property owner(s)/ Aldi l)(_K :AzJ) Day phone35-/ 9 Z s % Mailing address PO BaC.JSc 13/0 /Mh1&4700e( ///11-k Zip Code Site address Legal description (Lot, Block & Sub'd.) ZipCode "-' Legal description (Section, Township & Range) Lot Size 19, /Do Acre q.F'li Number of Bedrooms o� THIS APPLICATION IS FOR: Sewer Only ❑ —/ Well Only �f 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. of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: `?� /�� Date of Payment: Receipt Number: Receipt Number: (Rev. 09104) MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Renewal Date Issued: Sep 14, 2004 Expiration Date: Sep 14, 2005 Permit Number: SW040383 Parcel ID: 075-093-33 Legal Description:: Fairfield Lot B Design Engineer: 0000 None Required Site Address: Unknown Owner Name: Robert & Carolyn Swangler Lot Size: 14100 SO. FT. Owner Address: 13000 Ridgeview Drive Total Bedrooms: 2 Permit Bedrooms: 2 Anchorage , AK 99516 - 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 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. Issued By. Date: Date: Q / / q/ocl 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. Q' 5-M5-35 Permit Number SW OB-0ROR Property owner(s)- Mailing address (1) 1_2 CbM Mailing address (2) Legal description (Lot, Block & Sub'd.) phone La3a-.'7O4;Ly Code Legal description (Section, Township & Range) 1IQ M ?Zr' Lot Size ISI , doh Acre q.Ft Number of Bedrooms a THIS APPLICATION IS FOR: Sewer Only ❑ Well Only B 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. of propertTowner or authorized agent) Permit Fees: 1145 •oma Waiver Fees: Date of Payment: q/ 1311)4 Date of Payment: Receipt Number: r�80�2rA Receipt Number: (Rev. 12100) 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 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Sep 22, 2003 Expiration Date: Sep 21, 2004 Permit Number: SW030388 Parcel ID: 075-093-33 Legal Descriptiom airfield Lot B Q Design Engineer: 0000 None Required Site Address: Unknown Owner Name: Robert & Carolyn Swangler Lot Size: 14100 SQ. FT. Owner Address: 13000 Ridgeview Drive Total Bedrooms: 2 Permit Bedrooms: 2 Anchorage , AK 99516 - 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. 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: Issued By: Date: 9 '�c C3 �� Date: Z Z Oj Parcel LD. 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.enchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT-APPLI•:..4TION FOR A SINGLE FAMILY DWELLING o--Co°C3 33 Permit Number SW 030388 Property owner(s) I'�/�F✓�WA_Alal r✓`v Day phone Mailing address (1 BVI Mailing address (2) Sri �• Zip Code Legal description (Lot, Block & Sub'd.) (te3z- Zo2+ - cr'Ip'DWQOD Legal description (Section, Township & Range) T10 Lot Size �"fDO Acre 23 Ft Number of Bedrooms �• THIS APPLICATION IS FOR: Well Only Sewer Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi [v� 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 !,sin accordance with applicable Municipal Codes. (Signature of properly owner or authorized agent) Permit Fees: Date of Payment Receipt Number: (Rev. 12100) Waiver Fees: Dale of Payment: Receipt Number: