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HomeMy WebLinkAboutCOTTONWOOD HEIGHTS BLK 2 LT 4Cottonwood Heights Lot 4 #051-431-04 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 & Wastewater System Permit Permit Number: OSP241126 Work Type: WellSeptic Initial Tax Code Number: 05143104000 Site Legal Address: COTTONWOOD HEIGHTS BLK 2 LT 4 G:0756 Site Mailing Address: Owner: BOOMERSHINE ANDREW & LAURA Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: t)�harrrr�c>2tt 6/20/2024 6/20/2025 48841 © 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 an Closed on the same day, o b %fre Cover,sealed, and heated to prevent g Special Provisions: • If the property line is not removed by a platting action, a property line waiver will be required to close the permit. Received --By: _ iS ctP 'i o C' /;- Date: Issued B _ � f ,Y �y"�-c t, err (D — Date: Y _�2 5 CNN' JLP I k-0 1,'ELL PLPMI I A r�"r'LICATION Parcel I.D. 051-431-04 Property owner(s) ANDREW AND LAURA BOOMERSHINE Day phone 907-232-4937 Mailing address 16211 PARKSVILLE DRIVE, CHUGIAK, AK 99567 Site address 16211 PARKSVILLE DRIVE, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) COTTONWOOD HEIGHTS; BLOCK 2, LOT 4 & 5 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) LJ (w/wo ADU) Septic Tank 7U pgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well 0 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 owner or authorized agent) Permit/Rush Fees: v' Waiver Fees: Date of Payment:�Alz-`/ Date of Payment: Receipt Number: Cqg 2 OG Receipt Number: Permit No. 0, P Z- `f I 1 Z Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application,doc "A- I I Y Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241126, Deb Wockenfuss, 06/20/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241126, Deb Wockenfuss, 06/20/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241126, Deb Wockenfuss, 06/20/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241126, Deb Wockenfuss, 06/20/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241126, Deb Wockenfuss, 06/20/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241126, Deb Wockenfuss, 06/20/24