HomeMy WebLinkAboutT10N R2E SEC 18/19 LT 26 PART 5T1 ON R2E SEC 18/19
Lot 26 Part 5
075-061-29
Not Eligible for Certificate of On -Site
Systems Approval because final inspection
paperwork is needed.
Alimicipality of Anchorage
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Mayor Mark Begich Building Safety Dit-ision
August 16, 2004
Daniel A. Sill
P.O. Box 1022
Girdwood, AK 99587-1022
Subject: On -Site Water and/or Wastewater Permit.
Permit Number: SW030380
Legal Description: Ti ON R2E Sec 18/19 Lots 26 Part 5
Dear Mr. Sill:
An On -Site Water/Wastewater Permit, number SNL'030380, issued by this office for asingle-family
system, will expire on September 15, 2004. 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 $115.00 if the renewal application is received on or before the expiration date of
the original permit.
When applying for anew permit, the fees are: $460.00 for a wastewater permit and $175.00 for a well
permit.
If you have any questions, please call this office at 343-7904.
Sincerely,
Bcz�wl- rv;(r
Daniel J. Roth
Program Manager
On -Site Water and Wastewater Program
Enc: Copy of permit
Coli1111u11ity, Security, Prosperity
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: Sep 16, 2003
Expiration Date: Sep 15, 2004
Permit Number: SW030380 Parcel ID: 075-061-29
Legal Description: T10N R2E SECTION 18 / 19 LOT 26 PART 5
Design Engineer: 0000 None Required Site Address: PO BOX 1022
Owner Name: DANIEL A. SILL Lot Size: 7796 SO. FT.
Owner Address: PO BOX 1022 Total Bedrooms: 1 Permit Bedrooms: 1
GIRDWOOD , A 99587-1022
This permit is for the construction of:
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ 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:
C
Date:
G
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
(07) 343.7904
r i�-SITE SL.WERMIELL PERiatiT AF:'! -(CATION —
FOR A SINGLE FAMILY DWELLING
Parcel I.D. (f�:) ' e5,' / -,?-9 Permit Number SW030380
Property owner(s) 1 A •5� (� Day phone 3C5/ !. y,?cr
Mailing address (1) i7n
Mailing address (2) Zip Code
Legal description (Lot, Block &
Legal description (Section, Township & Range)
Lot Size "7 —?e? Acres/Sq.Ft.
Number of Bedrooms
THIS APPLICATION IS FOR:
Only
Sewer Only
❑
Well
Sewer and Well
❑
Water Storage
❑
Sewer Upgrade
❑
THIS PROPERTY CONTAINS:
Hot Tub
❑
Jacuzzi
❑
Swimming Pool
❑
Water Softening Unit
❑
Therapy Pool
❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees: 4 Waiver Fees:
Date of Payment: Dale of Payment:
Receipt Number: 4 h40 cf<Rece;pt Number:
(Rev. IMO)
SEP -08-2003 03:47 PM G 907 783 2894 P.01
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Lot 26
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SEP -08-2003 03:47 PM G
907 783 2894
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Legal Description:,
That pardon of Lot Twenty—IIx (2E) of Ckdrood Small Troct
Oroup, U.S. Survey No. 3043, Anchorage Reaerdng Dlsftlol
Third Judkkl District, State of Ak" described onflodam
booming attheot�No �� r of odd Lot 28the
paradr :o tlrot ba�x�dory2Fa listanos
of fg feat: trance N52ZOV to a point which roochov the
Northwest boundary of said Lot 20: thrice MM7'E don
said Northwest boundary to the Point of Boo mi g.
Surveyor's Certification:
1. Poul Prlo% hwsby Comfy that 1 haw performed
an As—butt survey of this lot and oa the dwn ndone
and Informotlon as shown hrson ars true and no
andvoadunents ex" unless drown athrwlse.
Notes:
1. Only 0460vwto on t" em Oat
of u-& Survey 3043 on sewwno hereon.
2. No Camre set this survey.
3. Survey prfrmed November 11, 2001
pp • Suor�yey of: tt yy��
Girdwood Sm Wil Tract aU.S S. 3043
( see Legal DesalpUon)
Paul J. Price
27331 West Seth Aia*A Ave.
An502
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