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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,