HomeMy WebLinkAboutALPINE VILLAGE BLK 3 LT 6Alpine Villoge
Block
Lo1- 6
#014-133-06
Municipality of Anchor. age ...
Department of Health and Human Servtces. ':
825 'L" Street ... . ..
P.O. Box196650 ^nchorage, Alaska 99519-6650-' :' '
/~1[ M~ffltl~l NIp:lN/wv.cLa~e.lk.t~ ' :'i"....~'
~ Namber: #SW 020083 Date of/~ue: ~0-02 Pm-eel IdeatiDca~on Number: 014-133-06
DsteStarted: ~20-02 DsteComplelgd: ~20-02 ]s~lllocat~atal~ .ro~..~locatie~?~ Ye~ [] No
Al~ine V'8~eoe BIk 3 Lt 6 . · ·
Todd Glazer
PO Box 230531
Description:
Propert~ Os~er Name & Address:
~, Alaska 99523 '-
Depth(h) Method of Dra!!ng ~ air rot~,, I--I cable tool
Fmm To
C-,iag type:
0 2 Wall Thi ..c~: ~ i~c~;
2 12 D~V~.~Jnches · Depth: lOOfeet
12 23 Liner Type.'
23 76
Caflng ~tidmp ,,here gro=,,d: 2 lent
76 91
Static ~at~r
91 96
Pampi.g
;6 100 21x~Faa~50+St~,, ,.~.....~. ~.. ;. ~ ~... ~.,
Wdi ].tal~ Opming Type:
..
[] ~
Groat T~pe:
Dcl~: SuutOf~
Pump: lnUke Depth feet
Borehole Data:
sffck-up
gmve#y cobbly silt
Well Dbfafected Upon Completion/[] Yes [] No
Method ofDblnrection: ch/c~ne tab/e~
Comments:
W~II Driller. A/p/ne D~fng & EnterpSses
PO Box 110496
~Vx:homge A/asks 99511
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WATER SUPPLY PERMIT
Initial
Date Issued: Apr 30, 2002
Expiration Date: Apr 30, 2003
Permit Number: SW020083
Legal Description: ALPINE VILLAGE BLK 3 LT 6
Design Engineer: 0000 None Required
Owner Name: Todd Glazer
Owner Address: PO Box 230531
Anchorage, AK 99523-
Parcel ID: 014-133-06
Site Address: 007310 BERN ST
Lot Size: 8450 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well
[] 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 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.
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St,
P,O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
{907) 343-7904
ON-SITE SEWEPJVVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parce,,.D. 0/?--
Permit Number SWOZOOB~
Properfyowner(s) -'T'o~(~ ~ Id ZqC
Mailing address (1) ~0 SOX t~O'-"~-~/
Mailing address (2)
Day phone
Zip Code
;Z7 q - gs/o'
q¢5'a.3
Legaldescription (Lot, Block&Sub'd.) ~ I P~'/',e If; I1~*,~
Legal description (Section, Township & Range)
Lot Size <~/'7L5'0 C~' f',r Acres/Sq. Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
[] Well O.nly
[] Water Storage
[]
Jacuzzi
Water Softening Unit
I cedify that the above information is correct. I fudher certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees:
Date of Payment:
Receipt Number:
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
BASEL
BERN