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HomeMy WebLinkAboutCANDLELIGHT LT 1Candl light Lot I #0§1-063-0f) Certifiei ri[l[ing by DOC CO. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 * TELEPHONE 688-2750 OWNER OF LAND: ADDRESS: LEGAL DESCRIPTION: ~"~,,-,JK~,~,~ ~¢&,,"Y ~'- /ol i DATE: Z¢/. oo , i ! ' "-- PERMIT NUMBER:'~!fi ! ~ 6, Date of Issue ~ T~ IDENTIFICATION NUMBER: ~ I _ ~. Is well I~ated at appmv~ pe~it location? ~s 'J No Meth~ of Drilling: ~ rota~ ~ cable tool ~pth of well: /~ ~ Casing Type ~Wall ~ickness ' ~ inches Diameter ~ ~ inches, depth /~' feet Lin~ Type: ~ ~ Casing Stickup Above Ground: ~. feet Static Wat~ Level: ~ feet R~ov~Rate: * ~ gpm ' "' Ueth~ of Testing: ~d~ ~F~ ~ ~11 Intake Opting Type: ~ open end ~ open hole ~Scr~n~; ..... Sta~ ~ f~t Stop~d '-- feet' ~rforati~s Sta~ ~ feet~Stop~d I~ feet GmutType: t~ ~ Volume ~pth:from O feet, to ~ ~ ~ feet Well Disinf~t~ Upon CommOtion? ~s ~ No Meth~ of Disinf~t~: ~~ ~ Comments: BORE HOLE DATA DEPTH ~" Driller's Name A'I-rENTION: It is the responsibility of the property 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 Conservalion. MUNICIPALITY OF ANCHORAGE Deve/oprnent 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 Upgrade Date Issued: May 22, 2001 Expiration Date: May 22, 2002 Permit Number: SW010126 Legal Description: 'CANDLELIGHT LT 1 Design Engineer: 0000 None Required Owner Name: TONY DELUClA Owner Address: 21904 OLD GLENN HIGHWAY EAGLE RIVER. AK 99577-7804 Parcel ID: 051-063-09 Site Address: 021904 OLD GLENN HWY Lot Size: 18295 SQ. FT. Total Bedrooms: 2 Permit Bedrooms: 2 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: ,~~ Date: ~"'_~..~__,-. o < Date: 2"- --O/ 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.ct.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Permit Number SW~ Property owner(s) ~ address (1) Mailing address (2) Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) LotSize L- ts, THIS APPLICATION IS FOR: Sewer Only [] Sewer and Well [] Sewer Upgrade [] THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool /-,,-f- Zip Code ~'?F? '7 Number of Bedrooms 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 properly owner or authorized agent) Permit Fees: Date of Payment: Receipt Number: (Rev. 1~00) Waiver Fees: Date of Payment: Receipt Number: /"~ MUNICIPALITY OF ANCHORAGE f' ~  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage. Alaska 99501 Telephone 2644720 - ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT [~] UPGRADE LOCATION N~ BEDROOMS Liq. capacity in gallont IF HOME,DE: Inside length Widt~ ' Liquid depth ~ O ~ DISTANCE TO: Well Dwelling PERMIT NO. O Z ~ Manufacturer Material Liquid capacity in ~llons ~[[ Top of tite to finish gte 7~ inch~ ~ Well Building foundation . Nearest lot line ~ DISTANCE TO: ~ ~lass Depth Driller D~stance Io lot line PERMIT NO. ~ Building foundation Sewer llne Septic tank Absorption area~s) ~ DISTANCE TO: OTHER 72-013 IR~ 3~78) F'ERMIT NO. ¢ APPLICANT DEAN-DELUCIA BUILDERS LOCRT I ON LEGAL LI CANDLELIGHT r-lL~l'-.I I S--: I F"RL I TY OF RNCHOP. RI]E DEF'ARTr,IE~T ..~.~ HEALTH fi.NE', EH',/I P. ONr.IENTAL/r,K~.OTECT I OH · ,82~, STREET, ANCHORAGE, 264-4720 r~ f4----"~. I TE SEI-IEF: PEF:£'I I T 82853.8 ) PO BOX 2~4 E.R. 99577 LOT SIZE 999999 S6!URRE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH I~IRXII'ILIM NUMBER OF E:E[,F:Or~MS = ~ SOIL RATING <SQ FT/E:R)= 260 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH=--':~ LEt-.IGTH= ?~" _. 6RR%-'EL DEPTH= ~--- THE LEHGTH [:,IMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OF: DRAINFIELD. THE DEPTH OF 8 TRENCH OR PIT IS THE DISTANCE BETHEEN THE SURFACE OF THE GROUND RNC, THE BOTTObl OF THE EXCA',/ATIOH (IN FEET). THERE IS NO SET HIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRRYEL BETHEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). F:E -rJ!LI I RED, _C. EF"T I C TRr4F( _'5; I 2E= :I.¢~0E~ iSRLLOr-.IE; PERMIT APPLICANT HAS THE F:E-~POHSIBILITY TO INFORM THIS DEPARTblENT DURING THE INSTALLATIOH INSPECTIONS OF Rf't"r' HELLS RDJRCENT TO THIS PROPERTY Al'ID THE HU.t'IBER OF RESIDEHCES THAT THE HELL HILL SERVE. TI-lO ~". 2-- ;, I f4SPECT I Of 4S RF:E RE¢~,I_I. . I RED BACKFILLING OF AHY SYSTEM HITHOUT FINAL INSPECTION AND RPPROVAL BY THIS DEPARTMENT HILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETI4EEN A HELL AND 8f./"r' ON-SITE SEHROE DISPOSAL SYSTEM IS i80 FEET FOR R PRIVATE NELL OR 150 TO 200 FEET FROM A PUBLIC HELL DEPENDIHG UPON THE TYPE OF PUBLIC HELL MINIMUM DISTANCE FROM R PRIVATE HELL TO A PRIVATE SEHER LINE IS 25 FEET AND TO R COMMUNITY SEHER LINE IS 75 FEET. OTHER REOUIREMENTS MAY RPPLY. SPECIFICATIONS AND COHSTRUCTIOH [:,IRGRAMS RRE AVAILABLE TO INSURE PROPER INSTALLATION. PEF:[-! I T E,'---4 F' I RES DECEMBER ~2-- 2982 I CERTIFY THRT 2.: I RM FAMILIAR HITH THE REQUIREMENTS, FOR OH-SITE SEHERS RHD HELLS RS SET FORTH BY THE MUNICIF'RLITY OF RNCHORRGE. 2: I HILL INSTRLL THE SYSTEbl IH RCCORDRNCE filTH THE CODES. 3: I UHDERSTRND THAT THE OH-SITE SEHER SYSTEM MRY RE6~JIRE EHLRRGEMEHT IF THE RESIDEHCE IS REMODELED TO IHOLUDE MORE THAN 3 BEDROOMS. ..... V4. 0 Russell Oyster 694-2774 Performed for:. Legal Description: O & E ENC_~NEERING & DEVELO.-MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Earl Elila SOIL LOG 688-2280 Name: Mailing Address! Depth (feet) Soil Characteristics 0 1 5 6 PLOT PLAN 11 15 16 Ground Water Encountered: Yes Proposed Installation: Seepage Pit Comments: No ~ PERC. TEST If yes, what depth