HomeMy WebLinkAboutALYESKA #3 BLK 21 LT 1x
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,ett-_ MUNICIPALITY OF ANCHORAGE
On-Site Water&Wastewater Program `°
PO Box 196650 4700 Elmore Road -.
d,' Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 r;
/' httpa/www.muni.org/onsite
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On-Site Water System Permit
Permit Number: OSP181237 Effective Date: 8/2/2018
Work Type: Well Initial Expiration Date: 8/2/2019
Tax Code Number: 07602232000
Site Legal Address: ALYESKA#3 BLK 21 LT 1 G:4916
Site Mailing Address: 191 HIGHER TER, Girdwood
Owner: SCHILLINGER MAX ADOLF & Lot Size in Sq Ft: 12000
Design Engineer: Total Bedrooms: 2
This permit is for the construction of:
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank 0 Privy 2 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 out this permit, please submit the following:
1)Well log
2) Pump install log
3)Water sample results for total coliform, nitrates and arsenic
1111.
A �/I''-IMI R Date: '" 23 ?0/9
Received By: C2L- 9JUUSU
pIssued By: Date: 0 Ar 0
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section
Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. b%•O 22'32
6139V-
Property owner(s) M/})( t1 E S (1//W/ Day phone TO 4-- /6—yJgS
Mailing address PO BO X q zo PALME g / K 9 q e`/5
Site address NNn/ H160E2 ?rg2AC(, (0l2 DW(2ov, Ak. 99594
Legal description (Sub'd., Block & Lot) 1-0 T / 13L o(k 2 / #L y'f ICp 3
Legal description (Township, Range & Section) -1-,) N R 2e. / S C 1iwv /6
Lot Size 12,000 Sq. Ft. Number of Bedrooms 0 (No /10016 YE
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field ❑ Initial Single Family (SF) IZ
(w/wo ADU)
Septic Tank ❑ Upgrade ❑ Duplex (D) 0
Holding Tank El Renewal 0 Multiple Dwellings ❑
Privy 0 (SF and/or D)
Private Well ,`EC
Water Storage 0
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
cutticil 00&„.t (g
(Signature of property r
w oorized a ent)
Permit/Rush Fees: (2) l Waiver Fees:
Date of Payment: 71 30[/' Gk2 Date of Payment:
Receipt Number: 22110 7 Receipt Number:
Permit No. fX e g c i�'3 1 Waiver No.
G:\Development Services\Building Safety\on Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
7/30/201 1"--OF ALS 1t MINIMUM WELL SETBACKS: N
i��P `1� /y1 t� SEWER MANHOLE (SSMH) = 100 feet
de* 49 TH /\ * y SEWER MAIN = 75 feet
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- PRIVATE SEWER LATERAL = 25 feet
Max . Sc illinger 1
fa, LS-12039 �o���
SSMH
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tt°FH BASIS OF BEARINGS - WEST 120.00' /
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LOT 1, BLK 2 /40 ••> ;: e
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- F----------
WATER WELL APPLICATION FOR 0 10 20 SCALE: 1"=30 FEET
DATE: 7/30/2018
LOT 1 BLOCK 21 MUNI GRID # SE4916
A LY E S KA VIEW #3 , AK. 99587
LEGAL DESC:ROPERTY L1 B21 NHN PLAT #66-167,HIGHER
A.R.D.CE, GI TAX 0 DD=O 6 022 32
ALL POINTS NORTH LLC, PO BOX 4207. PALMER, AK 99645 TEL: 907-746-4185