HomeMy WebLinkAboutGLENNPHILL LT 1 MUNICIPALITY OF ANCHORAGE
On-Site Water &Wastewater Program •s.
PO Box 196650 4700 Elmore Road
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997
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On-Site Water System Permit
Permit Number: OSP171066 Effective Date: 5/4/2017
Work Type: Well Initial Expiration Date: 5/4/2018
Tax Code Number: 00605503000
Site Legal Address: GLENNPHILL LT 1 G:1241
Site Mailing Address: 8340 DUBEN AVE,Anchorage
Owner: HANSON PENNY Lot Size in Sq Ft: 11491
Design Engineer: Total Bedrooms: 3
This permit is for the construction of:
❑ Disposal Field El Septic Tank 0 Holding Tank ❑ Privy 0 Private Well ❑ Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions:
To close this permit please submit the following:
1. Well log
2. Pump Install Log
3. Water Sample Results
`4/ /7
Received By: Q/yG D Date:
Issued By: C/" W D'`r Date: CA/47
MUNICIPALITY OF ANCHORAGE
Community Development Department 1. Phone: 907-343-7904
Development Services Division Fax: 9• •97
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On-Site Water & Wastewater Program � �> ,
1.
ON-SITE SEWERNVELL PERMIT APPLICATION ll�� [,
oo&-ors-03 a Mpy p 1 2.017
Parcel I.D. P-- 9 q 9 lila I 515 -
Property owner(s) pe 'V b, t�Ct ki SO til Day phone e < 8
of 5B
Mailing address 31(D 6 I< -. (�N C(normo s A_k
Site address 3 4{ t w rV Ru- 3 P-tnr k oraq e L, Glq 50q
Legal description (Sub'd., Block & Lot) (S-11-1\0•1 fa H ILL 3 L.OT
Legal description (Township, Range & Section)
Lot Size I Ii'-I Sq. Ft. Number of Bedrooms
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field ❑ Initial Single Family (SF) gi
(w/wo ADU)
Septic Tank ❑ Upgrade ❑
Holding Tank ❑ Renewal Duplex (D)
❑
❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
ZWitt-i71 V- 1C44-
(Signature oroperty owner or authorized agent)
Permit/Rush Fees: A6 Waiver Fees:
Date of Payment: 5/10' � Date of Payment:
Receipt Number: C4 1/ -//3 T o7 Receipt Number:
Permit No. C.6n1-3-10t0.{e - Waiver No.
Permit App_9-1-12.doc
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NOM THE DCAGr UX -ATM OF 4" SERVICE CONNECTS
WILL BE DETERMINED IN THE Ra -D
NM. CONTRACTOR WILL INSTALL A HALF JONT OF
DJ. CL 2 IN ALL LINES LEADW IN AND OUT OF
MANHOLES.