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HomeMy WebLinkAboutFIRE CREEK LT 1Onsite File OVSM2492 PID# 051 -431 -32 Formerly Cottonwood Heights Block 2 Lots 4 and 5 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org Septic System Owner-installer Agreement The On-site Water and Wastewater Section (On-site) may issue an approval for a homeowner to perform work on an on-site wastewater disposal system to serve that individual's owner- occupied, single-family or duplex home if the homeowner meets and agrees to the following requirements: 1. The property owner and excavation equipment operator may perform work on no more than one owner-installation project in a 12-month period. 2. Owner’s projected active involvement with the installation: _______________________________________________________________________ _______________________________________________________________________ 3. The name of the excavation equipment operator: ________________________________ 4. I agree that there will be no monetary compensation for installation services rendered. 5. The name of the inspecting engineer: _________________________________________ 6. I agree to discuss the following items with the inspecting engineer: a. Permit design criteria and specifications. b. Inspection requirements set forth in AMC 15.65.070. c. Advance notice given to the On-site Water & Wastewater Section for all required municipal inspections (AMC 15.65.070A). 7. I agree to have the project-specific On-site Wastewater Disposal System Permit available at the construction site for the duration of all related work. 8. I agree that if the system is an advanced wastewater treatment system (AWWTS), I will obtain additional installation instructions and approval from the equipment distributor. As owner of (legal description) ________________________________________________ I agree that the information above is true and accurate. Owner’s printed name: _________________________ Owner’s signature: _________________________ Date: ________________ _____________ pj Excavation, installation and back fill for septic tank and drain field. Includes inspections and working_ _______________________________________________________________________ ______Excavation installation and back fill for septic tank and drain field Includes inspections and workingExcavation, installation and back fill for septic tank and drain field. Includes inspections and working______________________________________________________________________________________________________________________________________ with Garness engineering to ensure proper installation. ________________________________ Scott Ogan _________________________________________ Jody Maus - Garness Engineering ) ________________________________________________ Fire Creek Subdivision, Lot 1 _________________________ LAURA BOOMERSHINE ________________ 8/26/25 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: OSP251232 Work Type: WellSeptic Renewal Tax Code Number: 05143132000 Site Legal Address: FIRE CREEK LT 1 G:0756 Site Mailing Address: 16123 PARKSVILLE DR, Chugiak Owner: BOOMERSHINE ANDREW & LAURA Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft Total Bedrooms: 7/10/2025 7/10/2026 98053 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy W 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 5 Received By: Date: �7 Issued By: Date: MUNICIPALITY OF ANCHORAGE Development Services Department t _ Phone: 907-343-7904 On -Site Water & Wastewater Section ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-431 - _ '2— Property owner(s) Andrew & Laura Boomershine, Mailing address 16211 Parksville, Drive *Chugiak 99567 Site address same Day phone 907-232-4937 Legal description Fire Creek Ll - formerly Cottonwood hts B2 L4&5 Number of Bedrooms 5 Engineering Firm Garness Engineering Group Building Permit Number Not Applicable ❑ APPLICATION IS FOR: APPLICATION IS AN: (Z all that apply) Disposal Field R Initial D Septic Tank El Upgrade 0 Holding Tank ❑ Renewal Privy ❑ Well Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Permit/Rush Fees: fArf Date of Payment: 7/ 0,5 Permit No. 05A 2P 2-32- May 2025 Waiver Fees: Date of Payment: Waiver No. Distance: Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251232, Curtis Townsend, 07/10/25 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251232, Curtis Townsend, 07/10/25 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251232, Curtis Townsend, 07/10/25 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