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HomeMy WebLinkAboutGIRDWOOD ORIGINAL TOWNSITE BLK 5 LT 20 Rick Mystrom, Mayor M mic p W of A chorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchorage.ak.us 343-4744 July 2, 1998 George Von Der Hiede PO Box 586 Girdwood, Alaska 99587 0586 Subject: Lot 20 Block 5 Girdwood Original Townsite Permit #SW970162, PID #075-152-30 The subject permit, issued July 1, 1997 by this office for a single family well and/or on-site wastewater system, has expired as of July i, 1998. 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 questions, ~/r ogram Manager On-site Services please call this office at 343-4744. 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 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW970162 DESIGN ENGINEER:DUMMY COMPANY OWNER NAiME:VONDER HIEDE GEORGE OWNER ADDRESS:BOX 586 GIRDWOOD, ALASKA 99587 PARCEL ID:07515230 LEGAL DESCRIPTION: GIRDWOOD ORIGINAL TOWNSITE BLK 5 LT 20 LOT SIZE: 3600 (SQ. FT.) NUMBER OF BEDROOMS: 2 THIS PERMIT: 2 THIS PERMIT IS FOR THE CONSTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 7/01/97 EXPIRATION DATE: 7/01/98 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 SANE DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. ~PE~IAL:PRoVISIONS!: ~HE DWELLING WHICH THIS PERMIT IS VALID FOR SHALL BE ~ CONNECTED TO PUBLIC 'SEWER BY NO LATER THAN AUGusT!~i3'~'~'199~'. THE WELL SHALL BE CONSTRUCTED NO CLOSER THAN THE ALLOWABLE 100 FEET T© AN~ S~PTIC SYSTEM~OR SOURCES OF CON~AMINATION.~ RECEIVED BY: DATE: ISSUED BY: DATE: 7-/-?7 ~".IOZ - o -30 ' / / mniclpallty o[ Anchorage BUILDING SAFETY DIVISION res.)0nslblllty t~ d~rml~o tho e~l~m of mW 8~sem~lG, OOVOIl~{l~~. ~ We ['~orrJed su~vtslon pl~l, UruJ~r O~abll=blng buunda~ of fence ENGINEERB P 440WEST BENSON BLVD. ANCHORAGE, ALASKA 99503 562-5291 SURVEY CI~RTIFICATION: I hereby certify that I have surveyed the property shown end ( scribed hereon and that the Improvements situated thereon are within the property lines and [ encroachments exist other than noted. PLEASE NOTE: It Is the contract -or'l responsibility to check top ~f foundation In relation to Hllllh grade arid building 10t- 3ack! Fn relation to lot Ilnel nd easements. LEGAL DESCRIPTION: LEGEND: SET FOUND 5/B" REBAR ~ 0 HUB & TACK n 1~3 MONUMENT ~ (D AL-CAP '~ ~ PK NAIL X IRON PIPE (6) i= EL.EVS, - DATUM ASSUMED p~,t~: MUNICIPALITY OF ANCHORAGE WATER & WASTEWATER uYILITY :3000 ARCTIC BLVD. PHONE: (907)564~762 BLOCK/LOT/TRACT BLK 5 LT 21 SUBDIVISION GIRDWOOD ORIGINAL TOWNSITE TAX CODE .7515231. GRID STREET ADDRESS MAIN STREET WASTEWATER CONNECT PERMIT 97-9008 DATE OF APPLICATION 07/01/97 _ SCHEDULED COMPLETION DATE..~ . 12/31/97 5112 AS-BUILT [] SINGLE' FAMILY ~ MULTI-DWELLING No. APTS [] COMMERCIAL OWNER VENDER HIEDE GEORGE MAIL ADDRESS PO BOX 586 GIRDWOOD, AK 99587 PHONE CONTRACTOR REDMOMD [] Repair Existing Service [] On Property Only [] City Tap · [] Hydrant Only - [] 50' or Longer [] Main Tap - To Property Line Only [] Main Tap & On Property 'Connect Row No, [] Disconnect [] R& R- Main Tap Only CONNECTSIZE4" REIMBURSABLE NUMBER INSPECTION FEE $ 104.00 PERMIT FEE $ 35.00 $ 0.00 DEPOSIT $ 0.00 TOTAL $ 139.00 ASSESSMENTS [] Main Line E~tension ' .~Have Been Levied ~__~ I-~ ~ To BeLevied ' ' ...... Comments: ~wner ISSUED spa~'~ INSPECTED BY [] CASH ~THER DATE / / REMARKS PERMITTEE (Please Print) MAIL ADDRESS PHONE SIGNATU RE CUSTOMER COPY · · ' Original L .mnicipality of Anchorage BUILDING SAFETY DIVISION NIH 1 ? 1987 , res.~onslb!llt¥ ~ d~b:rmlo¢ lh~ o~ restr~tio~ which do not ~ ~e r~0rded su~vtslon plat. Un:ilar XOr o_ SURVEY CERTIFICATION: I hereby certify that I have surveyed the property shown and d{ I ~ Iiiscribed here°n and that thelmpr°vomentssltuatedthera°n erewlthln thepropertyllnesand n' ENGINEERS · PLANNERS · SURVEYORS .-or', responsibility to check top 5/8" REBAR O O · of foundation In relation to HUB & TACK [~1 ~ CnN. aY: {IHIIIh grade arid building ,at- 4ONUMENT ~ ~) . 440WE~TBENSONBLVD, ~,cks In relation to lot Ilnal AL-CAP ~ ~j ANC'HORAGE, ALASKA 99503 562-5291 and easements. PK NAIL X IRON PIPE (~ LEGAL DESCRIPTION: I= E L.EVS. - DATUM F.O..': ASSUMED ~-, '