HomeMy WebLinkAboutFIRE LAKE HEIGHTS LT 1AFire Lake
Heights
Lot 1A
#051-351-32
Permit Number:
Tax Code Number:
Work Type:
Permit Effective Dates:
Design Engineer:
Subdivision:
Site Legal Address:
Owner/Address:
Site Mailing Address:
On-Site Water System Permit
OSP141114
05135132000
Well
May14,2014
Initial
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastawater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
to May 14, 2015
FIRE LAKE HEIGHTS
FIRE LAKE HEIGHTS LT lA G:0454
OLMSTEAD KATHI
19436 LAURA LEE EAGLE RIVER AK 995778415
13819 KNOB HILL DR, Eagle River
Lot Size in Sq Ft:
Total Bedrooms:
50165
3
This permit is for the construction of:
N Disposal Field N SepticTank
N Holding Tank N Privy Y Private Well
N 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 ;I 5.55 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 must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Services Division
On-Site Water & Wastewater Program
~ Ph~;'~i~AL
ON-SITE SEWER/WELL PERMIT APPLICATION
Property owner(s)
Site address /~/¢
Legal description (Sub'd., Block & Lot) Z¢¢ ~./,,~¢ /~'/~',~- /~/¢~-~'-~-
Legal description (Township, Range & Section)
Lot Size ~',~'o~,, '¢ Sq. Ft. Number of Bedrooms
Day phone
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
([~ all that apply)
Absorption Field [] Initial j~ Single Family (SF) ~j'
(w/we ADU)
Septic Tank [] Upgrade []
Duplex (D). []
Holding Tank [] Renewal []
Multiple Dwellings []
Privy [] (SF and/or D)
Private Well ~
Water Storage []
THIS APPLICATION INCLUDES A VARIANCE I 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: ¢ 2, ~f5
Date of Payment: ' ~'/~l/J~'
Receipt Number:~.¢ 2~t¢
Permit No. (tSJOILJllli¢
Waiver Fees:
Date' of Payment:
Receipt Number:
Waiver No.
Permit ^pp_9-1-12.doc