HomeMy WebLinkAboutFINCH LT 2COnsite File
Finch
Lot 2C
#050-211-86
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone. (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Water System Permit
Permit Number: OSP211023
Work Type: Well Initial
Tax Code Number: 05021186000
Site Legal Address: FINCH LT 2C G:0055
Site Mailing Address: 10717 HIGH BLUFF DR, Eagle River
Owner: H CONSTRUCTION LLC
Design Engineer:
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
2/5/2021
2/5/2022
20748
❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Q 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
Date:
Date:
4
NIM ALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTICM/ELL PERMIT APPLICATION
Parcel I.D. 050-211-86-000 v��c�(� 4Con sfiµ�t�on. Corot
Property owner(s) H CONSTRUCTION LLC Day phone (907) 982-4759
Mailing address 15581 EAST TEELING CIR, PALMER, AK 99645
Site address 10717 HIGH BLUFF DR, EAGLE RIVE, AK 99577
Legal description (Sub'd., Block & Lot) LOT 2C, FINCH SUBDIVISION, PLAT #88-118
Legal description (Township, Range & Section) SECTION 7, T14N, R1 W
Lot Size 20,739 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial
Single Family (SF) El
(w/wo ADU)
Septic Tank
❑
Upgrade ❑
Duplex (D) ❑
Holding Tank
❑
Renewal ❑
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
0
Water Storage
❑
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 Municipa odes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 4 Z25
Date of Payment: 2/421
Z
Receipt Number: 6 Ll '% O& 6
Permit No. C)_5P Z I J0Za
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
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DATE: 1/29/2021
Qof-Esslow FILE: 20-94 HIGH BLUFF
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1/29/2021 1 ' I PROPERTY ADDRESS: 10717 HIGH BLUFF DR, EAGLE RIVER, AK 99577
FND.,
757.4 X L SC_
LEGAL DESC:
1 1111 = LOT 2C, FICNCH SUBDIVISION; PLAT: 86-118, P.R.D.
FALL POINTS NORTH LLC --- PO BOX 4207. PALMER, AK 99645 TEL: 907-746-4185
MUNICIPALITY OF ANCHORAGE
WATER & WASTEWATER UTILITY
3000 ARCTIC BLVD.
PHONE:(907)564-2762
BLOCK/LOT/TRACT: LT 2C/
SUBDV: FINCH
TAX CODE: 05021186000 GRID: NW0055
WASTEWATER SY11O317
CONNECT PERMIT
DATE OF APPLICATION: 2/5/2021
SCHEDULED COMPLETION DATE: 12/31/2021
STREET ADDRESS: 10717 HIGH BLUFF DR Eagle River, AK 99577
OWNER: ROSES JESSICA LYNN & MARSHALL DELMAR
MAIL ADDRESS: 10711 HIGH BLUFF DRIVE EAGLE RIVER, AK 995770000
❑
SINGLE FAMILY
❑
DUPLEX
❑
COMMERCIAL
❑
MULTI -DWELLING No. APTS 0
PHONE:
CONTRACTOR: H Construction, LLC
ASSESSMENTS
❑ Repair Existing Service
❑ Main Line Extension
Q On Property Only
❑ Hydrant Only
❑ City Tap
❑ Have Been Levied
❑ To Be Levied
❑ Main Tap - To Property Line Only
Comments:
❑ Main Tap & On Property Connect
❑ Disconnect
Row No.
❑ R & R - Main Tap Only
wn
[Owner Staff
CONNECT SIZE 4 in
ISSUED WWVAH
INSPECTION FEE
$112.00
❑ PAID ❑ CASH
PERMIT FEE
$77.00
❑ CHECK
RCC
$1.69
❑ OTHER
REIMBURSABLE
DEPOSIT
$0.00
INSPECTED BY
NUMBER
TOTAL
$190.69
DATE
REMARKS
PERMITTEE (Please Print) H Construction, LLC
MAIL ADDRESS 15581 Teeling CIr Palmer, AK 99645
SIGNATURE
EMAIL
PHONE (907)982-4759
POST IN A CONSPICUOUS PLACE AT THE JOB SITE
CUSTOMER COPY