The URL can be used to link to this page

Home My WebLink AboutCOUNTRY WOODS BLK 5 LT 7COnsite File CounoAdokiary Aw Lot It, I ;je Z 0 Well not drilled per MW Drilling MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water b 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: Jul 10, 2008 Expiration Date: Jul 10, 2009 Permit Number: SW080136 Parcel ID: 012-522-57 Legal Description: COUNTRY WOODS BLOCK 5 LOT 7C Design Engineer: 0000 ZZ - NONE NEEDED Site Address: 8250 COUNTRY WOODS DRIVE Owner Name: WAYNE WESTBERG Lot Size: 10520 SO. FT. Owner Address: 8250 COUNTRY WOODS DRIVE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99502 - This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q 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 Issued Date: 3-11-01 Date: Municipality of Anchorage O -Development Services Department _ Building Safety Division A On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEPTICIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. � Ia - 5aa' 51 Property owner(s) o lfc. Day phone o2 L1D-,39�4/ Mailing address O a� �L,�►"fit Dg- Zip Code 995 Site address Legal description (Sub'd, Block & Lot) Legal description (Township, Section & Range) Lot Size lb, 5po Sq. Ft. THIS APPLICATION IS FOR ([Dail that apply) Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well 121 Water Storage ❑ Code Number of Bedrooms THIS APPLICATION IS AN: Initial Upgrade ❑ Renewal 9.1, 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) Date of Payment: Date of Payment: Receipt Number. /102 /25 Receipt Number: (Rev. 11/05) Plat Map no Ll N rxY A r �Qp p5 1►Mri sls� Oi►►re�r � 11b �aAl wlnsb►► aaa� wsowcs GOAL wool slop.. Ws and •1►Mrh T►tsts " Visa. am.n,rns. Jab • 16110 LT. 1 KK►r C[►Vrt TWAT .• ►CCY►►T[ [VN[T at To[ rouOVINC 090C[1690 0-40094f1 AOr 7-C el jt' ` MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Permit Number: SW070161 Legal Description: COUNTRY WOODS BLOCK 5 LOT 7C Design Engineer: 0000 ZZ - NONE NEEDED Owner Name: WAYNE WESTBERG Owner Address: 8250 COUNTRY WOODS DRIVE ANCHORAGE. AK 99502 - Date Issued: Jul 16, 2007 Expiration Date: Jul 15, 2008 Parcel ID: 012-522-57 Site Address: 8250 COUNTRY WOODS DRIVE Lot Size: 10520 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q Private Well ❑ Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specked 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. 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". NO PERSON MAY CAUSE THE CONSTRUCTION, INSTALLATION OR USE OF CROSS -CONNECTION BETWEEN DOMESTIC, ACTIVE OR DECOMMISIONED WATER WELL AND PUBLIC WATER SYSTEM. IF THERE ARE ANY QUESTIONS PLEASE CALL THE MUNICIPAL ON SITE WATER AND WASTEWATER PROGRAM AT 907-343-7904. Received By. Issued By: ch:�� D Date: Date: Alunicipality of Anchorage Development Services:Department . �T. y Building Safety Division ` On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsile (907) 343-7904 ON-SITE SEPTICMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I. Propert Mailing Site address N Legal description (Sub'd, Block & Lot) Legal description (Township, Section & Range) Lot Sizel D Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ N Code S,Lor 7C Number of Bedrooms 4 - THIS APPLICATION IS AN: Initial Upgrade ❑ Renewal ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family gwelling and is ir}accordance with applicable Municipal Cods. (Signature tf p(operty owner or authorize agent) Permit/Rush Fees: q�ltcl Date of Payment: Receipt Number. (Rev. 1 V05) Waiver Fees: Date of Payment: Receipt Number: Plat Map =. ' sine E „e 5 V /J7�as9•/q'� a � a a As l V e I ` jy,G n^'/t w `0 0 1 00 • oR couNrRq_W OS Reee�i/,ed ✓u�/a 7, /aeG n,,N Cd/ drivewo 0gy f o" , p.Ara. O•i•nuara�0 C� J lG dwaory �Qlf�?O•C•C 4 �kI aw••,wtiM wM•ww�••••/ r frank L NY~ f{a�jAbAP ftso I b4 C 4jew"r SL 1140 aaMaA vArA& as art ikafuc4 Gant wGC GtapG, V&S Mit 4M14rla 0641arG "MI4. dmns6nG. Jab 0 70410 LT., ' Z weaeev Geon" .M,Y aw aeeware guwcy Gr r+e 1f, 'F • 4�p ��1 raAornae ouealGco raeaearr �, �y4P:'•.•�`..y'••i s3�. nor 7 •9 c Az Al