HomeMy WebLinkAboutSNOW RAVEN VILLAGE LT 1Onsite File
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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 Water System Permit
Permit Number: OSP221134
Work Type: Well Initial
Tax Code Number:
Site Legal Address: SNOW RAVEN VILLAGE LT 1 G:4715
Site Mailing Address: 412 HIGHTOWER RD, Girdwood
Owner:
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy
Effective Date:
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
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Department
5/17/2022
5/17/2023
8589
Q 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
Special Provisions:
To close this permit please submit:
1. Well Log
2. Pump Install Log
3. Water sample results
Received By:
Issued By:
Date:
Date: =E7 Z Z
3
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 Water System Permit
Permit Number: OSP221134
Work Type: Well Initial
Tax Code Number:
Site Legal Address: SNOW RAVEN VILLAGE LT 1 GA715
Site Mailing Address: 412 HIGHTOWER RD, Girdwood
Owner:
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Effective Date
Expiration Date:
�111CI](
S(f'
Q n
Department
Lot Size in Sq Ft:
Total Bedrooms:
5/17/2022
5/17/2023
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q 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:
Issued By:
Date:
Date:
3
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTICM/ELL PERMIT APPLICATION
I r
Parcel I.D. - a5 - 6 3J -J-1 X00
Property owner(s)Dl wc��Day phone
i
Mailing address t -i H i L:L_c_,/-
Site address
Legal description (Stab'd., Block &Lot) Sit1-
p -
Legal description (Township, Range & Section) -
Lot Size Sq. Ft. Number of Bedrooms
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field ❑ Initial
14
Single Family (SF)
❑
Septic Tank ❑ - Upgrade
❑
(w/wo ADU)
Holding Tank El Renewal
❑
(D)
ElRenewal
Privy ❑
Multiple Dwellings
dAj
(SF and/or D)
Private Well
Water Storage ❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further
certify that this is in accordance with
applicable Municipal Codes.
(Signature of property Oner or authorized agent)
Permit/Rush Fees: -% '2, tin
Waiver Fees:
Date of Payment:
Date of Payment:
Receipt Number:
Receipt Number:
Permit No. _6) S P 22l 3
Waiver No.
GADevelopment Services\Building Safety\On Site Water and WastewaterTormsUient FormsTermit Application.doc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221134, Deb Wockenfuss, 05/17/22
MUNICIPALITY OF ANCHORAGE
WATER & WASTEWATER UTILITY
3000 ARCTIC BLVD.
PHONE: (907)564-2762
BLOCK/LOT/TRACT: LT 1/
SUBDV: SNOW RAVEN VILLAGE
TAX CODE: 07503151000 GRID: SE4715
WASTEWATER S2211O8
CONNECT PERMIT
DATE OF APPLICATION: 5/13/2022
SCHEDULED COMPLETION DATE: 12/31/2022
STREET ADDRESS: 412 HIGHTOWER RD Girdwood, AK 99587
OWNER: SMYTHE DENNIS F & YUNHI
MAIL ADDRESS:
❑
SINGLE FAMILY
❑
DUPLEX
❑
COMMERCIAL
❑
MULTI -DWELLING No. APTS 0
PHONE:
CONTRACTOR: Ground Breakers
ASSESSMENTS
❑ Repair Existing Service
❑ Main Line Extension
❑ On Property Only
❑ City Tap
® Have Been Levied (UG
❑ Hydrant Only
❑ To Be Levied
❑ Main Tap - To Property Line Only
❑ Cured in Place Pipe
Comments:
❑ Main Tap & On Property Connect
❑ Disconnect
Row No.
Owner Staff
❑ R & R - Main Tap Only
CONNECT SIZE 4 in
ISSUED WWVAH
INSPECTION FEE
$112.00
`Kj PAID ❑ CASH
PERMIT FEE
$77.00
❑ CHECK
RCC
$1.69
OTHER 57rs 04 -
REIMBURSABLE
DEPOSIT
$0.00
INSPECTED BY
NUMBER
TOTAL
$190.69
DATE
13auI_I17C0.1
PERMITTEE (Please Print) Ground Breakers
MAIL ADDRESS 16383 Sand Piper Dr Anchorage, AK 99516
SIGNATURE
EMAIL
PHONE
POST IN A CONSPICUOUS PLACE AT THE JOB SITE
CUSTOMER COPY