HomeMy WebLinkAboutVALHALLA BLK 2 LT 2��
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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
hftp://www.muni.org/onsite
On -Site Water & Wastewater System Permit
Permit Number: OSP231417
Work Type: WellSeptic Initial
Tax Code Number: 01521226000
Site Legal Address: VALHALLA BLK 2 LT 2 G:2736
Site Mailing Address: 12325 Shenandoah RD, Anchorage
Owner: LEWIS JERRY & SHEILA
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
Effective Date:
Expiration Date:
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Department
Lot Size in Sq Ft:
Total Bedrooms:
1 /4/2024
1 /3/2025
✓❑ Disposal Field Z 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: S S vCD 7v 6)
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Issued By:
Date:
Date: Z
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MUNMPAUTY OF ANCHORIA-8 GE
Development Services Department _ Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON -SITE SEPTICM/ELL PERMIT APPLICATION
Parcel I. D. 015-212-26
Property owner(s) JERRY AND SHEILA LEWIS Day phone 907-538-8804
Mailing address
Site address NHN SHENANDOAH ROAD *ANCHORAGE, AK
Legal description (Sub'd., Block & Lot) VALHALLA; BLOCK 2, LOT 2
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
E]
Initial ❑
Single Family (SF) El
Septic Tank
x❑
Upgrade
pg ❑
(w/wo ADU)
Holding Tank
El
Renewal❑
(D) ElRenewal
Privy
❑
Multiple Dwellings ❑
(SF and/or D)
Private Well
R
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
WELL TO HOLDING TANK
Distance: 80'+
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: 5-5
Date of Payment:
Receipt Number:
Permit No. __�15 P
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No. 05 u Z 3 (O � G
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231417, Curtis Townsend, 01/04/24
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Municipality of Anchorage
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P.O. Box 196650 0 4700 Elmore Road
Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997
http://www.muni.org/Onsite
Development Services Division
On -Site Water and Wastewater Program
Waiver#: OSV231066 COSA#:
PID#: 015-212-26
Legal Description: VALHALLA BLK 2 LT 2
Engineer: Garness Engineering Group
Permit#: OSP231417
Your request for a waiver of the required 100 feet horizontal separation from the holding tank to
the private well has been approved. The approved separation distance is 80.0 feet.
This waiver approval applies to the existing holding tank only. Any future upgrade to the on -site
wastewater disposal system will require all separation distances be met or another approval from
this department.
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Waiver is Granted: X Waiver is not Granted:
Date: j ( 2 Approved by: - `~
Name of Reviewer
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Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231417, Curtis Townsend, 01/04/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231417, Curtis Townsend, 01/04/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231417, Curtis Townsend, 01/04/24
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP231417, Curtis Townsend, 01/04/24