HomeMy WebLinkAboutUS SURVEY 3045 LT 43 T10N R2E SEC 8Onsite File
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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 v
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On -Site Water System Permit
Permit Number: OSP221110 Effective Date: 5/13/2022
Work Type: Well Initial Expiration Date: 5/13/2023
Tax Code Number: 07503116000
Site Legal Address: US SURVEY 3045 LT 43 T1 ON R2E SEC 8 GA715
Site Mailing Address: 249 CROW CREEK RD, Girdwood
Owner: TWETO ELAINE Lot Size in Sq Ft: 67082
Design Engineer: Total Bedrooms: 3
This permit is for the construction of:
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
Special Provisions:
Toclose this permit please submit:
1. Well Log
2. Pump Install Log
3. Water sample results
4. Well Decommissioning Log
Received By:
Issued By:
Date:
Date:Z—
r
05/13/22
MUNICIPALITY OF ANCHORAGE
Development Services Department �f r� Phone: 907-343-7904
:On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. ►'L7-1-3oyy 07,5 11CA%je1_0 �.•1. .,
Property owner(s) Day phone qo-73so 72_60
Mailing address R 0. CSwL (owl , (�gj,. voA , Arc. R 9 g17-7
Site address 245 Crew Cree-" , G4rjvjopA ` lSi7
Legal description (Sub'd., Block & Lot) UA- 43 ().S 5L'ryey _ 9G
Legal description (Township, Range & Section) —1 Iom 9L, _ "I-
Lot Size Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION 1S AN: TYPE OF DWELLING:
(® all that apply)
Absorption. Field ❑ Initial Single Family (SF)
(w/wo ADU)
Septic Tank ❑ Upgrade ❑
Holding Tank El Renewal Duplex (p) ❑
❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well `9
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 Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 225
Date of Payment: 5�y�2Z
Receipt Number: Z762r,2
Permit No. P22 It 10
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
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MUNICIPALITY OF ANCHORAGE
WASTEWATER I5221033
CONNECT PERMIT
WATER & WASTEWATER UTILITY DATE OF APPLICATION: 3/3/2022
3000 ARCTIC BLVD.
PHONE:(907)564-2762 SCHEDULED COMPLETION DATE: 12/31/2022
BLOCK/LOT/TRACT: LT 43/ ❑ SINGLE FAMILY
SUBDV: US SURVEY 3045 ❑ DUPLEX
(-j COMMERCIAL
TAX CODE: 07503116000 GRID: SE4715 ❑ MULTI -DWELLING No. APTS 0
STREET ADDRESS: 249 CROW CREEK RD Girdwood, AK 99587
OWNER: TURNION CORPORATION THE
MAIL ADDRESS: PO BOX 994 GIRDWOOD, AK 995870000
PHONE:
CONTRACTOR: Dirtworks Inc
` ASSESSMENTS
❑ Repair Existing Service
❑ Main Line Extension
0 On Property Only
❑ City Tap
u Have Been Levied
❑ Hydrant Only
❑ To Be Levied
❑ Main Tap - To Property Line Only
El Cured in Place Pipe
Comments:
❑ Main Tap & On Property Connect
❑ Disconnect
Rova No.
Ej R & R - Main Tap Only
f Owner IStaff
CONNECT SIZE 4 in
ISSUED WWVAH
INSPECTION FEE
$112.00
n PAID n CASH
PERMIT FEE
$77.00
❑ CHECK
RCC
S1.69
❑ OTHER
REIMBURSABLE
DEPOSIT
$0.00
INSPECTED BY
NUMBER
TOTAL
5190.69
DATE
REMARKS
PERMITTEE (Please Print) Dirtworks Inc
MAIL ADDRESS 3255 South Old Glenn Hwy Palmer, Alaska 99645
SIGNATURE EMAIL
POST IN A CONSPICUOUS PLACE AT THE JOB SITE
CUSTOMER COPY
PHONE (907)355-4013