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HomeMy WebLinkAboutLot 04A1 Lot 4A #075 am 191 am 3t Well permit,, no work was of 5-2-18 b municipality of Anchorage k Mark Begich, Mayor Building Safety Division P.O. Box 196650 • 4700 Bragaw Street Anchorage, Alaska 99519-6650 • (907) 343-8301• Fax (907) 343-89,00 July 28, 2003 http://wv.mnni.org Richard Miller P.O. Box 9-1473 Anchorage, AK 99516 Subject: On -Site Water and/or Wastewater Permit. Permit Number: SW020315 Legal Description: Lee Lot 4A Dear Richard Miller: An On -Site Water/Wastewater Permit, number SW020315, issued by this office for a single-family system, will expire on August 28, 2003. This permit was valid for 365 calendar days. If this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system. As -built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. A new permit for a second year may be issued for a fee of $100.00 if the renewal application is received on or before the expiration date of the original permit. When applying for a new permit, the fees are: $400.00 for a wastewater permit and $150.00 for a well permit. If you have any questions, please call this office at 343-7904. Since Jam s ross, P.E. M ager On -Site Water and Wastewater Program Enc: Copy of permit Permit Number: SW020315 Legal Description: LEE LT 4A MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Aug 28, 2002 Expiration Date: Aug 28, 2003 Parcel ID: 075-191-39 Design Engineer: 0000 None Required Site Address: Owner Name: RICHARD J. MILLER Lot Size: 26100 SQ. FT. Owner Address: P.O. BOX 9-1473 Total Bedrooms: 2 Permit Bedrooms: 2 ANCHORAGE, AK 99516 - This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well ❑ Water Storage All construction must 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: 2 8 d 2 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 075 --ill — 77 Permit NumberSW0203/S Propertyowner(s)LL� v����� Day phone 97c- —26V"3 Mailing address (1) Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) /_0 T S A L L 6 S 1. Z ri b Legal description (Section, Township & Range) Lot Size o 60 Acre Sq.F Number of Bedrooms ,)-- P5 is 2p4oy --( 26100 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the ove informatio is correct. I further certify that this application is being made for a Single Fami Dwelling and is' acco nce with applicable Municipal Codes. (Signature of property owne authorized agent) Permit Fees: 15 O Waiver Fees: 5 -23 -0'2 - Date of Payment: Date of Payment: Receipt Number: 2 q (e 3 ? Receipt Number: (Rev. 12100) �ao��(�- \ \ ,ETAIL 1--_ C J-----' 16,230 s.f. \ 14,885 s.f. 0.37 AC. w kko 0.34 AC. uJ .0 ::F � 71 v) c/)o CC)o n u) SEE ►'►'I Alt)"p O O U-) o o O'ETA!L 3 I ?o� °0° opo 0 0 0,1 C3. i3 oc� �-' pNN O ��z NO L5 50' STREAM MAiNTENA CA & PROTECTION EASEW 11 L2 L3 (SEE NOTE L4 N N J 0 26100 s.f. "r LOT 5 LOT 6 LOT 2` � ® 0.90 ACRES 4pa-3 180.01' M N 89'59 34 E 179.77 (M 180.00 N 89'59'51" E 180.00'(8) FOUND 5/8 REBAR 0.2' ABOVE GROUND LOT CURVE RAD 3 C1 REBAR 4 C2 ROUND 4A C3 4A C4