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HomeMy WebLinkAboutEAGLE RIVER MID HEIGHTS BLK 4B LT 16 R~ck Mystrom. Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage. Alaska 99519-6650 http://www.oi.anchorage.ak.us July 8, 1999 Jerome 8: Sandra Wasson 10126 BAFFEN STREET Eagle River, AK 995778155 Subject: EAGLE RIVER MID HEIGHTS BLK 4B LT 16 Permit # SW980170 PID # 050-271-26 The subject permit, issued 6/12/98 by this office for a single family well and/or on-site wastewater system, has expired as of 6/12/99. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit and $120.00 for a well permit. If you have any questions, please call this office at 343-4744. Program Manager On-site Services enc: Copy of Permit MUNICIPALITY OF ANCHORAGE Department of Health and Human Sen/ices On-Site Sen/ices Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Jun 12, 1998 Expiration Date: Jun 12, 1999 Permit Number: SW980170 Design Engineer: SULLIVAN WATER WELLS Owner Name: Wasson Owner Address: 17343 Santa Maria Drive Eagle River, AK 99557- Parcel ID: 050-271-26 Legal Description: EAGLE RIVER MID HEIGHTS BLK 4B L \L~ Site Address: 010126 BAFFIN ST Lot Size: 20066 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ~ Disposal Field ~ SepticTank [~ Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements sp(~cified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regblations ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection, Provide notification by calling (907) 343-4744 ( 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. Date: ~..~////~/~:~ ~---'~ Date: ,1:: / / IT IS THE RESPONSIBILITY OF THE OWNER OR BUILDER, PRIOR TO CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE TO FINISHED GRADE AND UTILITY CONNECTIONS, AND TO DETERHINE THE EXISTENCE OF ANY ~ASEHENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. I HEREBY CERTIFY .THAT I HAVE SURVEYED THE .~' FOLLOWING DESCRIBED PROPERTY, AND ~AT NO EN~O~HMENTE EXI~ ~CE~ ~ ~ D~ERU~NE T~ ~IST~ OF ~Y GRID, .~"':~/ ...... ""~.~ E~;NTS, COVENANTS, O" RE~E'CT1ONS WHICH DO NOT ~EAR ~ ~E R~ ~DI- VISION P~T. UND~ NO CIRCUMSTANCES ~ DATA H~N BE US~ ~ C~U~ION ARY LINES. /7 572 45LF 8 DI /6 /5 L L V BI-O THE 4 SE~V FOR L 13 I~LI BE INSTALLE ONTO MAN ¥ SEE BELOW STA O+OOB STA 3+7245 MH STREET "' I0 PERM EASE · I0 T MP EASE 0 CK 4A ? STA 6+z745(, MH 50-~