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ESH
Lot 2
#075-064-06
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: OSP221190
Work Type: Well Initial
Tax Code Number: 07506406000
Site Legal Address: ESH LT 2 GA814
Site Mailing Address: 1687 ALYESKA HWY, Girdwood
Owner: LEON JARED
Design Engineer:
This permit is for the construction of:
Effective Date:
Expiration Date
Lot Size in Sq Ft
Total Bedrooms:
G !`
U n
1Jepartin ent
8/12/2022
8/12/2023
10902
❑ 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: 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.
Received By:
Issued By:
Date:
Date: /Z Z
2
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 075' 00-4 - ®(g. 5'd-'/Syhvc�76 Pdw.,J,
Property owner(s) JareJ N 9,*+n� Day phone `�® 7 Zo 1 q -1 q-7
Mailing address Pb iQe2k VK_ 61 Or -A Ula cod A k 9 5^$ 7
Site address A9-37 AjyesKe1
NI'l1AvJwc.y
TYPE OF DWELLING:
'91<27
Legal description (Sub'd., Block & Lot) _iFS
Lo
I, cz1 2 -
Legal description (Township, Range & Section)
Lot Size 10102- Sq. Ft. Number of Bedrooms
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Single Family
Absorption. Field
❑
Initial
(SF)
(w/wo ADU)
Septic Tank
ElUpgrade
El
Duplex (p)
❑
Holding Tank
El
Renewal ❑
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
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.
ignature of property owner or authorized agent)
Permit/Rush Fees: 5 Waiver Fees:
Date of Payment:Ga Date of Payment:
Receipt Number: Receipt Number:
Permit No. Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
Sewer Line
S,
W S9 3" \
6$ 21 s
S
X60
100' p?p2,
House
LOT 2
S
LINE BEARING_ DISTANCE
L1
N 37'18'29" E
28.66'
L2
N 46'39'32"W 15.53'
L3
N 36'07'47" E
45.77'
L4
S 32'35'57" E
17.45'
L5
S 3%18'29" W
41.41'
There will not be any drains (including foundation drains)
within 25 ft of the proposed well.
No sewer manholes are within 100' of the proposed well.
LEGEND
QS Sewer Share Sanitary
Manhole Sewer Service
S.
Proposed Sanitary Sewer Line
s
Existing Sanitary Sewer Main
T
49th\ IjStar
Sri y g
FMIIBIT
Lot 2,
Esh Subdivision,
Girdwood, Alaska
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ti
5
0 15 30
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US SURVEY ext
FEET
49th Star Surveying LLC
PO Box 738
Girdwood, AK 99587
(907)891-6111
Jeremy@49thSta rSu rveyi ng.com
W.O. 19016 DATE: 6/3/22
SCALE: 1"=30'