HomeMy WebLinkAboutSHADOWBROOK LT 1Onsite File
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MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
pOBox 1osVsu 4rVUElmore Road
Anchorage, Alaska oys1e-6sso phone: pm,: (907) 343-7997
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-Site Water & Wastewater System Permit
Permit Number: OSP221040 Effective Date:
Work Type: VValSepUc|nitio| Expiration Date:
Tax Code Number: 01549208000
Site Legal Address: SHADOVVBROOKLT 1 G:2838
Site Mailing Address: 6351 Bubbling Brook C/R.Anchorage
Owner: COOMB9-MARCEYKAREN REV TRUST Lot Size inSqFt:
Design Engineer: PANNONEENGINEERING SERVICES Total Bedrooms:
This permit isfor the construction of:
3/14/2022
3/14/2023
R1 Disposal Field R1Septic Tank El Holding Tank 0 Privy 0 Private Well El Water Storage
All construction shall bminaccordance with:
1. The attached approved design.
2. All requirements specified inAnchorage Municipal code Chapters 15.55and 15.85and the State nfAlaska
Wastewatet Disposal Regulations (1 8AAC72) and Drinking Water Regulations (1 8AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65.Provide notification bycalling (A07)343 -7Q04(24/7).
4
From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall beeither:
a. Opened and Closed onthe same day, ur
b. Covered, sealed, and heated to prevent freezing
Received B
Issued By:
Deb��
FFA
Community Development Department R Phone: 907-343-7904
Development Services Division " Fax: 907-343-7997
On -Site Wafter & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 015-492-08
Property owner(s) Daren Coombs-Marcey Rev Trust
Mailing address 11300 Mael St, Anchorage, AK 99516
Site address NHN Mael Street
Day phone
Legal description (Sub'd., Block & Lot) Shadowbrook, Lot 1
Legal description (Township, Range & Section)
Lot Size 42,334 _ Sq. Ft. Number of Bedrooms 2
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
X❑
Initial 0
Single Family (SF)
X❑
AD U)
Septic Tank
®
Upgrade(w/wo
❑
(D)
❑
Holding Tank
FJ
Renewal
Renewal ❑
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑X
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.
nature of property owner or authorized agent)
Permit/Rush Fees:. ezo Waiver Fees:
Date of Payment: Date of Payment:
Receipt Number: 273 0 277 Receipt Number:
Permit No. 05P22 /G qQ Waiver No.
Permit App_-'- :- ::..,.c
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221040, Deb Wockenfuss, 03/14/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221040, Deb Wockenfuss, 03/14/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221040, Deb Wockenfuss, 03/14/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221040, Deb Wockenfuss, 03/14/22