HomeMy WebLinkAboutSAND WILLHOLTH BLK 1 LT 2Sand Willholth
Block 1
Lot 2
#010-105-27
Permit Number:
Tax Code Number:
Work Type:
Permit Effective Dates:
Design Engineer:
Subdivision:
Site Legal Address:
Owner/Address:
On-Site Water System Permit
OSP161054
01010527000
Well
April01,2016
Initial
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
to April01, 2017
SAND WILLHOLTH
SANDWILLHOLTH BLK 1 LT 2 G:1629
FELTOVIC JUDY D
3203 COPE STREET ANCHORAGE AK 995034528
Site Mailing Address: 3203 COPE ST, Anchorage Lot Size in Sq Ft: 10150
Total Bedrooms: 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 15.65 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.
Date:
Date:
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Services Division
On-Site Water & Wastewater Program
Phone:907-343-7904
Fax:907-343-7997
ON-SITE SEWER/WELL PERMIT APPLICATION
ParcelI.D. eib" tO5"" ;~--'~
Property owner(s) ,'"~-~,~AA '[-~. ~ _l'~b' ~ , Day phone
Mailing address ~/.30J~o /~)~,/_~',~?L j~,~ /~. ~
Site address ' '2.-~"~ (I~/'D-~ ~'~ ~J'I_C~,, ~T'~'~
Legaldescription (~u~'d., ~lock~L(~t) ~/,~ /'J.~ )L _~.
Legal description (Township, Range & Section)
Lot Size ]/-)l Sq. Ft. Number of Bedrooms .,~
APPLICATION IS FOR:
([~ all that apply)
Absorption Field []
Septic Tank []
Holding Tank []
Privy []
Private Well J~
Water Storage []
APPLICATION IS AN: TYPE OF DWELLING:
Initial ~/' Single Family (SF)
(w/we ADU)
· Upgrade []
Duplex (D)
Renewal []
Multiple Dwellings
(SF and/or D)
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 Cod~s.
(Sign~r~ of~_~perty owner or authorized agent)
Permit/Rush Fees:
Date of Payment: .~/[~'
Receipt Number:
Permit No.
· Waiver Fees:
C~- ~'~e of Payment:
Receipt Number:
Waiver No.
Permit App_2- :- :'.dc
088,