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HomeMy WebLinkAboutGIRDWOOD ORIGINAL TOWNSITE BLK 3 LT 24Girdwood Original Townsite Block 3 Lot 24 #075 - 153 - 47 EXPIRED PERMIT April 1, 2002 Municipality of Anchorage George P. Wuerch, Mayor Building Safety Division P.O. Box 196650 • 4700 S. Bragaw Street Anchorage, Alaska 99519-6650 • (907) 343•8301 . http://ww'.•.ci.anchorage.ak.us Bill Schwartz Box 413 Monarch Mine Rd. Girdwood AK 99587 Subject: On -Site Water and/or Wastewater Permit. Permit Number: SW010104 Legal Description:"Girdwood Original Townsite Block 3 Lot 24 Dear Bill Schwartz: An On -Site Water/Wastewater Permit, number SW010104, issued by this office for a single-family system, will expire on May 10, 2002. 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 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 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 permit must be obtained from this office. A new permit 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 wastewater permit and $150.00 for a well permit. If you have any questions, please call this office at 343-7904. Siy, es Cross, PE tanager On -Site Water and Wastewater Program Enc: Copy of permit 6,110 • 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 Initial Date Issued: May 10, 2001 Expiration Date: May 10, 2002 Permit Number: SW010104 Parcel ID: 075-153-47 Legal Description: 'GIRDWOOD ORIGINAL TOWNSITE BLK 3 LT 24 Design Engineer: 0000 None Required Site Address: Owner Name: BILL SCHWARTZ Owner Address: BOX 413 MONARCH MINE RD GIRDWOOD , AK 99587-0000 Lot Size: 6000 SQ. FT. Total Bedrooms: 2 Permit Bedrooms: 2 This permit is for the construction of: n Disposal Field Septic Tank Holding Tank Privy 0 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: Dater (5 O/ Date: 5-- /0 —D/ 4 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AIC 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Q73"' /5.3 —47 Permit Number SWO/0/04 Property owner(s) t SC-4(444W(-"Z—f Day phone j ' 3.39-Y Mailing address (1) -' -0-e( t{- Mailing address (2) Zip Code 7f7 CrIID uOD aR16. in ToI4,s,J, Legal description (Lot, Block & Sub'd.) D���3 v S' /1.77 sir . .1ceeJe1 description (Section, Township & Range) NHP IVEIT STA EET Lot Size co AcreslSq.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 certify that the above information is correct. 1 further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. Pis; (Signature of property owner or authorized agent) Permit Fees: l/d0,-`-`2 Waiver Fees: Date of Payment: 6/P/0/ Date of Payment: Receipt Number: <335314. Receipt Number: (Rev. 12/00) —`•tfpf .�Cas��s .t4•4 e � • I ,t a Althortl C. Ouvir •. o •: NO, 16374 : �� .0" .0bi1�' >f'.••: 49 it• t" V %.-T. 5-F,v•cT __ 30.0 •30.0 o.0 o.o L c ,4 SEtile./.1" Q.ti Au" hacv M'/ /h o ►1✓ 1ivriv fop Lrrm wtux Lf " SP/ntai (.tri .More-, 14,1a3" ! A., • NOTES: L IT SHALL BE THE RESPONSIBILITY OF THE BUILDER OR OWNER TO VERITY THAT _BUILD1.N0100AUCLIL 19-WA„N_EETS All fUBDIVItION COVtNANTS AND ZONING ORDINANCES. 2. IT IS THE RESPONSIBILY OF THE BUILDER TO VERIFY AU. ELEVATIONS WITH RESPECT TO ALL UTILITIES. S. THIS PLAT REPRESENTS THE PARCEL OF PROPERTY DESCRIBED BELOW TAKCN ROM THE RECORDED PLAT DESCRIBING THAT PARCEL. INSTRUMENTS 1 OK( 1MPsL. : wacau TO \AM SITE.. s/p 8 LK �-T `i PnRGEL.11O75 153 4-17 000 January 10, 1986 TO: Permit Applicant P.0. 8 -6X 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TO'; r <NO ✓«s ^.4 DEPARTMENT OF HEALTH & HUMAN SERVICES Subject: Permit # 850611 Lot 24 Block 3 Girdwood Townsite Subdivsiion A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as -built inspection report(three part form) must be sent to this office for review and approval,and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Susan E. Oswalt Program Manager On-site Services SEO/ljw enc: Copy of Permit �T 'LP R-MR1 IL,. I -I- '4i( F". Oa NY ClA IFZ ifEHE= DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 �. ',LAX tEE::� R.!: 11,4 :F"V�U"'"R�� PERMIT NO: 850611 • HAND WRITTEN DATE ISSUED: 09/20/85 APPLICANT: YORAM PALKOVITCH ADDRESS: P 0 BOX 106 GIRDWOOD, AK 99587 CONTACT PHONE: 783-2287 LEGAL DESCRIP: LOT SIZE: SUBDIVISION: GIRDWOOD TOWNSITE LOT: 24 SECTION: 19 . • TOWNSHIP: 1ON RANGE: 2E 6000 (SI"FT" OR ACRES) rrr^^f, ^h~^ . I. I am familiar. with the requirements fbr on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit" will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or• nearby lot. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BYMOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS~BUILTS. WILL NOT .BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. BLOCK: 3 SIGNED 4PPLICAN M P ITCH ISSUED BY DATE: e„:2000 Tom Fink, Mayor Municipality of Ancl,.crage }141 Department of Health and Human Services cribs 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 March 3, 1988 William Schwartz Box 413 Girdwood, Alaska 99587 Subject: Holding Tank and Well Permit Application for Lot 24 Block 3 Girdwood Original Townsite Dear Mr. Schwartz: In response to your letter dated February 18, 1988, this letter will clarify my prior statements to you on February 5, 1988 by phone. These statements were made in anticipation of the proposed ordinance amendments to beheard soon by the Municipal Assembly. The hearing for the proposed amendments has been postponed two times in 1988 by the Assembly. Under the current ordinance, it is illegal to install a holding tank for new construction. As explained in the enclosed copy of the current ordinance, a holding tank is allowed only in the event an existing septic system is in a state of failure and is unable to be repaired or upgraded (AMC 15.65.090). Also, enclosed is a copy of the proposed ordinance amendments that will apply to your situation. If the amendments pass, this will allow you to apply for a permit to install a holding tank and well on your lot for new home construction. I encourage you to attend the hearing by the Assembly for the ordinance amendments on April 19, 1988 to support and speak on behalf of the ordinance changes. The hearing will be held at the Loussac Library in the Assembly chambers. If you have any questions or need further explanation, please call me at 343-4744. Sincerely, Daniel J. Roth Civil Engineer On-site Services DR/ljw #7 Enc: cc: Gus Andress, P.E., Manager On-site Services/Water Quality Programs Feb. 18, 1988 Dear Mr. Roth, I spoke to you on 2-5-88 regarding the construction of a single family residence on lot 24 block in the Old Girdwood `iownsite. Our conversation was about the lack of sewer and water in the -area. At this time you said basically that I would be able to get a' Permit for a well and 2000 gallon holding tank if I presented at. as -built for the site, a written contract from the local pumper, and that the holding tank had a high water alarm. All this and a 000 fee for the permit. The reason I am writing to you is because I need this information in writing and would be very grateful if you could do so as soon as possible. If you have any questions do not hesitate to call me at 783-3224 anytime. Thank you very much, 3 west street MUNICIPALITY Of ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION FE9191988 RECEIVED Bill Schwartz William .Schwartz Box 413. Girdwood, Alaska 9958t Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 075-153-47 1. GENERAL INFORMATION Expiration Date: 043/ 5 Complete legal description Girdwood Original Townsite BIk3 Lt24 Location (site address) 174 Old West St., Girdwood Ak. 99587 Current Property owner(s) William Schwartz Day phone Box 413 Monarch Mine Rd., Girdwood Ak. 99587 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ▪ Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 2 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer 0 WaiverNariance request for:. j / Distance: Received by: (/ / COSA to be released /the ngineer; unless othe ' e requested by the engineer. Date: (I -I lr1)- COSA Fee $ (-ARO - Waiver Fee $ Date of Payment 0 } 1--i, ha. a. v 'a Date of Payment Receipt Number O(-d°tL C Receipt Number COSA # 0c0C-Va, 11/451 a Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of FirmTha,op©n9 ra ta.,-c,, & V t' Address p• ®:C$O Y -1 0e92.17- q 4S7 C> Engineer's Printed Name . R GPA,Uetjo eel C 6. DSD SIGNATURE System #1 Approved for a bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for Phone Date t ZOO as" Arec frit 1R• Pannone: �• CE -8.149 ; bedrooms, with the following stipulations: 7111 bt,»Jar 'Mt/ cavi4t � 0 to s$p AS ferr � r ?VQ9 - a✓`set/ ; e IAts KUs • '' \tOFAAL ON-SItt/s' WATER AND WASTEWATER �c PROGRAM b/1!SFRitcP; 2 �,e am)) Original Certificate Date: / 054o �� unicipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet f If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Girdwood Original Townsite BIk3 Lt24 A. WELL DATA Well type Private Date completed 5/23/01 Total depth 80 ft. Date of test Static water level Well production If A, B, or C provide PWSID # Sanitary seal (Y/N) Y Cased to 80 ft. FROM WELL LOG 5/23/01 5 60 ft. g.p.m. WATER SAMPLE RESULTS: Coliform its E, colonies/100 mL Nitrate 6.337 mg/L Arsenic Nib ug/L Date of sample: ft- " l B. SEPTIC/HOLDING TANK DATA Tank Type/Material Tank size gal. Number of Compartments Foundation cleanout (Y/N) _ Depression over tank (YIN) Parcel ID: 075-153-47 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 29 in. AT INSPECTION 10/22/12 24 ft. 5.0 g.p.m. Collected by: 1 t S Date installed Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft2 or ft2/bdrm) Length ft. Width Total depth ft. Eff. absorption area ft2 Monitoring tube _ Depression over field System type ft. Gravel below pipe ft. Date of adequacy test Results (Pass/Fail) Fluid depth in absorption field before test in. Water added gal. Elapsed Time: min. Final fluid depth in. Absorption rate Any rejuvenation treatment (past 12 mo.) (Y/N & type) For New depth >= If yes, give date bedrooms in. g.p.d. D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons Manhole/Access (Y/N) in. High water alarm level at in. Cycles tested Meets alarm & circuit requirements? in. "Pump off" level at E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Water main Water service line Wells on adjacent lots ABSORPTION FIELD ON LOT TO: Property line Water Service line Curtain drain F. COMMENTS On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ Absorption field Surface water Building foundation Water main Surface water Driveway, parking/vehicle storage Wells on adjacent lots G. ENGINEER'S CERTIFICATION I certify that I have determined through held inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name S.\t F'i vrvonJ[S Date /2/0 Z S COSA brown sheet_10-10-12.doc . Sheveri k2: •Pannone : CE -8149 Awe THIS DRAWING IS NOT TO D z d. 0 N Z I 4.0 5 C4 (0 Z la W m O LA- W L Z a - z J a ocao Q N W w > .5 N o 0 H Jco Omp C N m m Oma U m ai vivo 30 2 O J7' a K z m 0 0 N 0 Checked By. APH (0 O N nt T 2006-L-159 a s SGS SGS Ref.# Client Name Project Name/# Client Sample ID Matrix 1125386001 Pannone Eng Sry 174 West St. 174 West St Drinking Water Printed Date/Time Collected Date/Time Received Date/Time Technical Director 11/06/2012 14:06 10/23/2012 13:56 10/23/2012 14:46 Stephen C. Ede Sample Remarks: Parameter Results LOQ Units Method Allowable Prep Container ID Limits Date Analysis Date Init Waters Department Total Nitrate/Nitrite-N Microbiology Laboratory E. Coli Total Coliform 0.237 0.100 mg/L SM21 4500NO3-F B (<10) Negative Negative 1 100mL SM21 9223B A 10/30/12 CMA 10/23/12 DLC 100mL SM21 9223B A 10/23/12 DLC (JPEG Image, 2391 x 3079 pixels) - Scaled (30%) HEFTY DRILLING 3540 AKULA 00IVL ANCHORAGE, AK 995 (907) 345-0593 https: //mail-attachment.googleusercontent.com/attachment/?ui=2&ik=0... ATION er WELL $Ub OlSTANcE ARD D 6 (t/. 1 el Addnee Isle el a, ib er 16. Section No. FROM ROAD INTERS@LTi WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological O Geophysical Survey; DrOilno Permll Na. Township N Ci Sp Range Ar of W,U Laco LI DEPTNr { Plnal ©ori. 0Joiree o Pu ItrlgallaA Richer Q Tee! Wt: 0 Other: AStNG: 0 Three i 0 Oommericol Pt. Rep' h WNght lbs. ipx...11. Depth Stickup 7L 9, Fi11AN OF WELL i(dmefePR Lingthc $ai betwoeo Pi cod 1t• DockIINlnq Oravit park 0, STATIC WATER LEVEt �3 %-3A-01 0 Above or 0 Seior toad"$orface —_ Equipment geed; Ii • PUMPING LEVEL below fond surf's* and YIELD __rt. otter hra. pumping 9.P•mt tL oltir bre. pumping 12,GROUTINA Welt Oaculed: . Yoi 0 No Molerlou D Neat Dimon! Qoiher:.S:. _ a PUMP; Cif available) HP Length of Orap Pipe ` 0. •cpot 0 Subm. 0 dot 0 DenlrtflcrI Id arNftaVS: 0 Other CONTRACTOR'S CERTIFICATION: Dox .r Noma ---- atoned: 15. WaSer Tempera Stirs one able r:purl lu Asst, vn tl.e beet of l tt �edge and ie NePi teat r. a f yontrobl Lltenso Number A or i> 1, Farm 02. WWA (Weil 1of1 tot*11vas le Os , PA1R-0rille 10/22/2012 2:12 PM