HomeMy WebLinkAboutALPINE VILLAGE BLK 3 LT 5
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August 22, 1997
Georffrey Broberg
7302 Bern Street
Anchorage, Alaska
99507 2734
Subject: Lot 5 Block 3 Alpine Village Subdivision
Permit #SW960263, PID #014-133-05
The subject permit, issued August 22, 1996 by this office for a
single family well and/or on-site wastewater system, has
expired as of August 22, 1997. .
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
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. Ail inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If you have any que'stions, please call this office at 343-4744.
Sin rely,
~ames uross,
Program Manager
On-s±te Serv±ees
enc: Copy of Permit
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE
1 OF
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW960263
DESIGN ENGINEER:DUMMY COMPANY
OWNER NAME:BROBERG GEOFFREY
OWNER ADDRESS:7302 BERN ST
ANCHORAGE, ALASKA 99507
DATE ISSUED: 8/22/96
EXPIRATION DATE: 8/22/97
PARCEL ID:01413305
LEGAL DESCRIPTION:
ALPINE VILLAGE BLK
3 LT 5
LOT SIZE: 8450 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT:
THIS PERMIT IS FOR THE CONSTRUCTION OF:
WELL SYSTEM
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 DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS
RECEIVED BY:
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