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HomeMy WebLinkAboutGIRDWOOD ORIGINAL TOWNSITE BLK 1 LT 15Girdwood Original Townsite Block 1 Lot 15 #075-151-20 W -414y �Mir,��`( 3540 �{.[•.0 In lit. o4refox°y<, oqX 99516 Permit NumberSt�Od°3 4- r? Date Of Issue 14 b� Parcel Identification Number ��� Date Started / d -04--Date Completed/6 -103- 0.1_, Is well located at approved permit location ❑ No Legal Description t a wh�SJ. Block Lot Property Owner Name & Address: I ^ '. 4. i rd+.w ",L r , Q95 Q7 i Borehole Data: Depth Soil Type & Thickness & Water Strata From To Method Of Drilling: y air rotary ❑ cable tool -S Casing Type: Wall Thickness, inches Diameter inches, depth feet Liner Type: Diameter_ inches, depth_feet Casing Stickup Above Ground: � feet Je. ►-�>la i. tJ % i9j b d Ir S j Static Water Level (from ground level): feet Pumping Levei:_feet after_hrs. pumping gpm Recovery Rate: is gpm Method Of Testing: u iJ b _ S Well Intake Opening Type: )f ppen End ❑ Open Hale ❑ Screened; Start feet' Stopped feet ❑ Perforations Start feet Stopped feet GroutType: ahc n_ Volume Depth; from feet, to feet Pump Intake Depth: feet Pump Size hp Brand Name Well Disinfected Upon C�rQp)etion? Yes ❑ No Method Of Disinfection�Ly�poxl Comments: Well Dr4NameCompailin /U 11�N r-+� City rXAW- b State�.�t..`L Zip 94S1b Attention: The well driller shall provide a well log to the property 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 within 60 days of completion. 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 Permit Number: SW020348 Legal Description: GIRDWOOD ORIGINAL TOWNSITE BLK Design Engineer: 0000 None Required Owner Name: Kim Rice Owner Address: PO Box 331 Girdwood , AK 99587 - Date Issued: Sep 16, 2002 Expiration Date: Sep 16, 2003 Parcel ID: 075-151-20 1 LT 15 Site Address: Lot Size: 6000 SQ. FT. Total Bedrooms: 1 Permit Bedrooms: 1 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 ( 18AACBO ). 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'- Z-6)— Date: Date: & a Z Municipality of Anchorage • Development Services Department Building Safety Division _ On -Site Water and Wastewater Program 5'A E Ty 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER ELL PERMI APPLICATION FOR A SINGLE FAMILY DWELLING Parcel l.D. 0 .!5' lS/--dO Permit Number SWO20346 Property owner(s) ktM S pi (-e— i\ `c2. Day phone q67-793-9,19-6 Mailing address (1) 0, 9 0-f, 33J Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size (OO C) Acres/Sq.Ft. THIS APPLICATION IS FOR: J Number of Bedrooms I LT- Number T Sewer Only ❑ Well Only & 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 Fees: Date of Payment: Receipt Number: (Rev. 12100) Waiver Fees: Date of Payment: Receipt Number: August 10, 2001 Municipality of Anchorage George P. iVuerch, Mayor Kim & Debra Rice PO Box 331 Girdwood AK 99587 Building Safety Division P.O. Box 196650 • 4700 S. Bragaw Street Anchorage, Maska 99519-6650 • (907) 343-8301 http://ixiizc.ci.anctioragc.alc.us Subject: On -Site Water and/or Wastewater Permit. Permit Number: SW990329 .Pstififfoom itlf 1pGlwu " Dear Kim & Debra Rice: Department of Public Works An On -Site Water/Wastewater Permit, number SW9903291 issued by this office for a single-family system, will expire on September 5, 2001. 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 may be issued free of charge for a second year if the application for the renewal is received on or before the date of expiration of the original permit. When applying for a new permit, the fees are: $320.00 for a wastewater permit and $120.00 for a well permit. If you have any questions, please call this office at 343-7904. Sincerely, James Coss, PE Manager On -Site Water and Wastewater Program enc: Copy of permit Municipality of Anchorage Department of Health and Human Services 825 "L' Street Rick Mystrom. P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor http://www.ci.anchorage.ak.us August 11, 2000 Kim Rice PO Box 331 Girdwood, AK 99587 Subject: Girdwood Original Townsite, Block 1, Lot 15 Permit # SW990329 PID # 075-151-20 The subject permit #SW990329 issued by this office for a single family well and/or on- site wastewater system, is due to expire 365 days after it's issuance on September 9, 1999. If this is a well permit and you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If this is an on-site wastewater system and a licensed Professional Engineer has inspected the installation, the original as -built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. However a new permit can be issued free of charge for a second year if the application for the renewal is received on or before the date of expiration of the original permit for which a fee was paid. When applying for a new permit after the original permit has expired or for more than a second year, the fees are: $320.00 for an on-site wastewater permit and $120.00 for a well permit. If you have any questions, please call this office at 343-4744. Sincerely, ViNa Y James Cross, PE Program Manager On-site Services enc: Copy of Permit Permit application MUNICIPALITY OF ANCHORAGE Department of Health & Human Services On -Site Sewer/Well Permit Application C -75 - NOTE: Application must be tilled out completely SINGLE FAMILY DWELLING Property Owner Mailing Address Legal Description Lot Block Lot Size CSG Acre Sq. Ft. Number of Bedrooms 1 t y- - IS -1 - av Parcel Identification Number Day Phone -78 3 a )$ Zip Code 019 7 Subdivision Inspections will be conducted by: ❑ Approved Engineering Firm ❑ Municipality (permit fee included) Does your house contain any of the following: ❑ Hot Tub ❑ Swimming Pool ❑ Therapy Pool ❑ Jacuzzi ❑ Water Softener Unit This application is for: ❑ Sewer Only ❑ Sewer and Well ❑ Sewer Upgrade ' d Well Only ❑ Water Storage I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and in accordance with applicable Municipal Codes. L ",/,, Property Owner/Well Driller Waiver Fe 72-012 (Rev. 4198)' Receipt # Receipt # Permit Waiver # Coe Permit Number: SW990329 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WATER SUPPLY PERMIT Initial Date Issued: Sep 09, 1999 Expiration Date: Sep 08, 2000 Parcel ID: 075-151-20 Legal Description: GIRDWOOD ORIGINAL TOWNSITE BLK 1 LT 15 Design Engineer: 0000 None Required Site Address: Owner Name: Kim Rice Lot Size: 6000 SQ. FT. Owner Address: PO Box 331 Total Bedrooms: 1 Permit Bedrooms: 1 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. 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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. I Received By: Issued By: Date: 949C) ` 4IIey & fy C9 30, 4o; LOT 14 SURVEYOR'S CERTIFICATION FINISH FLOOR DETAIL MEMBER 3310 W'WI e- :• LOT 16 7\Oo, PROPOSED BLDG. LOCATION FF 20 5 GRA' PAD 72 00, 0.0 S60. 0o F EAVE OVERHANG �F U� \�Q o�P LOT 15 6000 S.f. \ o0 17.8'/ ELEVATION DATUM IS GAAB 1964 POST QUAKE DATUM I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DESCRIBED ON THIS PLAT AND THE IMPROVEMENTS SITUATED THEREON ARE LOCATED AS SHOWN ON THIS PLAT. DATED THIS DAY OF 199— NOTES: 1. IT SHALL BE THE RESPONSIBILITY OF THE BUILDER OR OWNER TO VERIFY THAT BUILDING LOCATION SHOWN MEETS ALL SUBDIVISION COVENANTS AND ZONING ORDINANCES. 2. IT IS THE RESPONSIBILITY OF THE BUILDER TO VERIFY ALL ELEVATIONS WN RESPECT TO ALL UTILITIES. 3, THIS PLAT REPRESENTS THE PARCEL OF PROPERTY DESCRIBED BELOW TAKEN FROM THE RECORDED PLAT OESCRIOING THAT PARCEL, INSTRUMENTS RECORDED PRIOR TO OR AFTER THE FILING OF THE RECORDED PLAT ARE NOT SHOWN ON THIS PLAT. 0 = SET OR FND. 5/8" REBAR 17.5' = ELEVATION