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