HomeMy WebLinkAboutTRI LAKES BLK 2 LT 1ATri Lok¢
Block 2
Lot lA
#012-235-31
Expired Permit
Municipality of Anchorage
Build,rig Safc~' Dxv~sion
P.O. Box 19C_.~050 * 4700 S. Bragaw Strcct
Anchorage, Alaslca 99519-6650 · (907) 3-13-8801
http://xx~v.ci.anchoragc.ak.us
November 25, 2001
~¢p;~rtment of
Public V/or'ks
Michael L. Allen
17500 Spain Dr.
Anchorage AK 995
Subject:
On-Site Water and/or Wastewater Permit.
Permit Number:'SW000504
Legal Description: Tri Lakes Block 2 Lot lA
Dear Michael L. Allen:
An On-Site Water/Wastewater Permit, number SW000504, issued by this office for a single-family
system, will expire on December 21, 2001. This permit was valid for 365 calendar days.
If this was a well permit and the well has been drilled, a well log must be sent to this office for
documentation of the installation and to close the permit.
If this permit was for a wastewater disposal system, an original as-built inspection report must be sent to
this office for review, approval and documentation. This as-built inspection report must be signed by
the licensed Professional Engineer who inspected the installation of the system. As-built inspection
reports are required to be submitted within 30 days of the completion of the system.
If no system was installed under this permit, and you are still planning to install a well or wastewater
disposal system, a new permit must be obtained from this office. A new permit may be issuedJ~ee of
charge for a second year if the application for the rene~val is received on or before the date of expiration
of the original permit.
When applying for a new perm!t, the fees are: $320.00 for a waste~vater permit and $120.00 for a well
permit.
If you tve any questions, please call this office at 343-7904.
On-Site ~Vater and Waste~vater Program
Enc: Copy of permit
MUN/CIPALITY OF ANCHORA GE
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: Dec 21,2000
Expiration Date: Dec 21,2001
Permit Number: SW000504
Legal Description: TRI LAKES BLOCK 2 LOT lA ~
Design Engineer: 0000 None Required
Owner Name: MICHAEL L. ALLEN
Owner Address: 17600 SPAIN DRIVE
ANCHORAGE , AK 99516-
Parcel ID: 012-235-31
Site Address: 17600 SPAIN DRIVE
Lot Size: 8689 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
Ail 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
(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.
Received By:,/.,. ~ ~{~
IssuedBy:~~-~~ /. ~'
Date:
Date: I? -- 2 /-o0
NOTE: Application must be filled out completely
Property Owner Name
Mailing Address J "~
Legal Description
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
On-Site Sewer/Well Permit Application
SINGLE FAMILY DWELLING
6o0
~ Block
Lot SizeS~61~, Acres/Sq. Ft. Number of Bedrooms
Inspections will be conducted by: [] Approved Engineering Firm [] Municipality (permit fee included)
Does your house contain any of the following: [] Hot Tub [] Swimming Pool I-I Therapy Pool ~.Jacuzzi [] Water Softener Unit
This application is for: [] Sewer Only ["1 Sewer and Well [] Sewer Upgrade ~:~.Well--Only [] Water Storage
I certify that the above information is correct, I further certify that
this application is being made for a Single Family Dwelling and
in accordance with applicable Municipal Codes. Property Owner/Well Driller
Fees: _~ / .~ 0 Receipt # ~) ~- ~' 3 ,~t Permit # .~ IA,.'~ (~ ~) O ~ 0/.~
Waiver Fees: Receipt #
72-012 (Rev. 4/98)'
Waiver #
I
I
I
I~ 114 SEC. IL TI2N R4W
78-6
TRI-LAKES SUBDIVISION
LOT lA, BLOCK 2
8,689 S.F.
FOUND REBAR O'YP)
WEST 78TH AVEMUE
S 89°58'00"E
I
I ~.c. DRIVE
~oI
2.0' r; ~ o
I
~ - 105.0'
72,42'
PROPOSED BUILDING
n -~_ RELATIVE ELEVATION FROM
ASSUMED DATUM (TYP)
FOUND BRASS CAP
MONUMENT (TYP)
18.4'