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Lot B
#075-093-33
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Citvaiut;ncr Sulxliaasc BLOCK Dl Pru( 0%%wr Name& Addoss:Anderson Kerr
Girdwood Fairfield B P.O. Box 736 Site: 266 Hottentot Mine Rd.
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Meridian Township
Range
Section ._. %a of — __ %
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
Permit Number: SWO50368
Legal Description: Fairfield Lot B
Design Engineer: 0000 None Required
ON-SITE WATER SUPPLY PERMIT
Renewal
Date Issued: Sep 26, 2005
Expiration Date: Sep 26, 2006
Parcel ID: 075-093-33
Site Address: Unknown
Owner Name: ANDERSON KERR Lot Size: 14100 SO. FT.
Owner Address: PO BOX 736 Total Bedrooms: 2 Permit Bedrooms: 2
GIRDWOOD , AK 99587 -
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. I
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, seated, and heated to prevent freezing.
5. The following special provisions.
-THE INSTALLATION OF A WATER WELL SHALL MEET ALL THE ANCHORAGE MUNICIPAL CODE 15.55.
PLEASE SEE THE ATTACHED SHEET "PERMIT REQUIREMENTS FOR A DOMESTIC WATER SYSTEM". IT IS
THE BURDEN OF THE PROPERTY OWNER TO DETERMINE THIS WELL INSTALLTION WILL NOT AFFECT
THE FUTURE DEVELOPMENT OF THE SURROUNDING OR EXISTING LOTS. WHEN THE WELL HAS BEEN
COMPLETED AND SATISFACTORY WATER PRODUCTION HAS BEEN DETERMINED, THE WELL DRILLER
SHALL PLACE AN APPROVED SANITARY SEAL ON THE WELL HEAD AND NO PITLESS ADAPTER OR PUMP
SHALL BE INSTALLED UNTIL AN APPROVED WASTEWATER DISPOSAL SYSTEM HAS BEEN CONSTRUCTED.
IF THERE ARE ANY QUESTIONS PLEASE CALL THE MUNICIPAL ON SITE WATER AND WASTEWATER
PROGRAM AT 907-343-7904.
Received By
=,'�11
Date: d
Date:
Municipality of Anchorage
Development Services Department
\r' Building Safety Division
' On -Site Water and Wastewater Program
4700 Bragaw St
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 6 75 - 6q,-3"33 Permit Number SW
ZD
Property owner(s)/ Aldi l)(_K
:AzJ)
Day phone35-/ 9 Z s %
Mailing address PO BaC.JSc 13/0 /Mh1&4700e(
///11-k Zip Code
Site address
Legal description (Lot, Block & Sub'd.)
ZipCode
"-'
Legal description (Section, Township & Range)
Lot Size 19, /Do Acre q.F'li
Number of Bedrooms o�
THIS APPLICATION IS FOR:
Sewer Only
❑
—/
Well Only �f
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.
of property owner or authorized agent)
Permit/Rush Fees: Waiver Fees:
Date of Payment: `?� /�� Date of Payment:
Receipt Number: Receipt Number:
(Rev. 09104)
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
Renewal
Date Issued: Sep 14, 2004
Expiration Date: Sep 14, 2005
Permit Number: SW040383 Parcel ID: 075-093-33
Legal Description:: Fairfield Lot B
Design Engineer: 0000 None Required Site Address: Unknown
Owner Name: Robert & Carolyn Swangler Lot Size: 14100 SO. FT.
Owner Address: 13000 Ridgeview Drive Total Bedrooms: 2 Permit Bedrooms: 2
Anchorage , AK 99516 -
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:
Date: Q / / q/ocl
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 SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. Q' 5-M5-35 Permit Number SW OB-0ROR
Property owner(s)-
Mailing address (1) 1_2 CbM
Mailing address (2)
Legal description (Lot, Block & Sub'd.)
phone La3a-.'7O4;Ly
Code
Legal description (Section, Township & Range) 1IQ M ?Zr'
Lot Size ISI , doh Acre q.Ft Number of Bedrooms a
THIS APPLICATION IS FOR:
Sewer Only ❑ Well Only B
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.
of propertTowner or authorized agent)
Permit Fees: 1145 •oma Waiver Fees:
Date of Payment: q/ 1311)4 Date of Payment:
Receipt Number: r�80�2rA Receipt Number:
(Rev. 12100)
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 8 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 22, 2003
Expiration Date: Sep 21, 2004
Permit Number: SW030388 Parcel ID: 075-093-33
Legal Descriptiom airfield Lot B Q
Design Engineer: 0000 None Required Site Address: Unknown
Owner Name: Robert & Carolyn Swangler Lot Size: 14100 SQ. FT.
Owner Address: 13000 Ridgeview Drive Total Bedrooms: 2 Permit Bedrooms: 2
Anchorage , AK 99516 -
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. Ail 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: 9 '�c C3
�� Date: Z Z Oj
Parcel LD.
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.enchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT-APPLI•:..4TION
FOR A SINGLE FAMILY DWELLING
o--Co°C3 33
Permit Number SW 030388
Property owner(s) I'�/�F✓�WA_Alal r✓`v Day phone
Mailing address (1
BVI
Mailing address (2) Sri �• Zip Code
Legal description (Lot, Block & Sub'd.)
(te3z- Zo2+
- cr'Ip'DWQOD
Legal description (Section, Township & Range) T10
Lot Size �"fDO Acre 23 Ft Number of Bedrooms �•
THIS APPLICATION IS FOR:
Well Only
Sewer Only
❑
Sewer and Well
❑
Water Storage
❑
Sewer Upgrade
❑
THIS PROPERTY CONTAINS:
Hot Tub
❑
Jacuzzi
[v�
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 !,sin accordance with applicable Municipal Codes.
(Signature of properly owner or authorized agent)
Permit Fees:
Date of Payment
Receipt Number:
(Rev. 12100)
Waiver Fees:
Dale of Payment:
Receipt Number: