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HomeMy WebLinkAboutSOUTHPARK #2 BLK 3 LT 28Onsite File 0� ••that the Onsite File Southpark #2 Block 3 Lot 28 #020-502-26 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211158 Work Type: Septic Initial Tax Code Number: 02050226000 Site Legal Address: SOUTHPARK #2 BLK 3 LT 28 G:3236 Site Mailing Address: 15730 Stanwood CIR, Anchorage Owner: STADNICKY NICHOLAS J & Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms 0.1 c Depa rtment 5/25/2021 5/25/2022 28000 Q Disposal Field ® Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: , z Issued By: ��' (; &Vu, Date: `�5) 2 - Date: 5/a 4, 4 MUNICIPALITY OF C ® A ------------- Development Services Department'; Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION 0Z0_ r - z6 Parcel 1. D. - Property owner(s) NICK STADNICKY Day phone. Mailing address 15730 STANWOOD CIRLCE *ANCHORAGE, AK Site address 15730 STANDWOOD CIRCLE *ANCHORAGE, AK Legal description (Sub'd., Block & Lot) SOUTHPARK #2; BLOCK 3, LOT 28 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (© all that apply) Absorption Field 0 Initial Fx� Single Family (SF) 0 (w/wo ADU) Septic Tank 0 Upgrade ❑ Duplex (D) ❑ Holding Tank ElRenewal, ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: N/A Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: 4Z -7-_0A Receipt Number: 07-6-12Cr Permit No. _D��Z ) fl_!5_0 Waiver Fees: Date of Payment: Receipt Number: Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Clie nt Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211158, Rebecca Carroll, 05/25/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211158, Rebecca Carroll, 05/25/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211158, Rebecca Carroll, 05/25/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211158, Rebecca Carroll, 05/25/21