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HomeMy WebLinkAboutHARMANY RANCH - EAGLET AERIE LT 3rt a 'mss t r 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 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231397 Work Type: Septic Renewal Tax Code Number: 05038183000 Site Legal Address: HARMANY RANCH - EAGLET AERIE LT 3 G:0260 Site Mailing Address: Owner: LEWIS JAMES D & MEREDITH H Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date: 1rcnr '° a v Departhncut Lot Size in Sq Ft: Total Bedrooms: 11 /22/2023 11 /21 /2024 85728 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ 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 Received By: Issued By: 5 Date: Date: UH CC '' \ LTY OF l ���H0RI N GrE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON -SITE SEWERIWELL PERMIT APPLICATION Parcel I.D. 050-381-83 Property owner(s) James & Meredith Lewis Day phone Mailing address 20245 Riverside Drive, Eagle River, AK 99577 Site address NSN Harmany Ranch Road Legal description (Sub'd., Block & Lot) Harmany Ranch - Eaglet Aerie, Lot 3 Legal description (Township, Range & Section) Lot Size 85,728 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑X Septic Tank ❑X Upgrade El(w/wo ADU) Holding Tank ElRenewal x❑ Duplex (D) ❑ El Multiple Multiple Dwellings ElPrivy and/or D) Private Well ❑ 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. SRP (Signature of property owner or authorized agent) Permit/Rush Fees: -46/q 5- Waiver Fees: Date of Payment: Il/Z l 1 Date of Payment: Receipt Number: _ G)C(0.5 tf G Receipt Number: Permit No. 05 PZ31-19 % Waiver No. Permit App_'- : .,:c Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com Mailing: P.O. Box 1807, Palmer, AK 99645-1807 Telephone: (907) 745-8200 FAX: (907) 745-8201 DATE: 11/21/2023 Subject: Expired On-Site Water and Wastewater Permit Permit Renewal Request Permit Number: OSP221386 Legal Description: Harmany Ranch – Eaglet Aerie L3 This is a request to renew the permit for the above mentioned lot. All site conditions remain the same. The construction still will not affect the health, safety, or development of the surrounding lots. Sincerely, SRP Steven R. Pannone, PE, F. ASCE Owner/Civil Engineer Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231397, Curtis Townsend, 11/22/23 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 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221386 Work Type: Septic Renewal Tax Code Number: 05038183000 Site Legal Address: HARMANY RANCH - EAGLET AERIE LT 3 G:0260 Site Mailing Address: Owner: LEWIS JAMES D & MEREDITH H Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date: Q ,. Department Lot Size in Sq Ft: Total Bedrooms: 11/3/2022 11/3/2022 11/3/2023 85728 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ 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: • Prior to inspection report submittal, the inactive water well is to be decommissioned. Please submit a well decommission log with the inspection report. Received By: rI S SU (�— To P(: - Issued By: (AA Date: Date: (( 21PIZ 7- 5 UNUPA TY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 050-381-83 Property owner(s) James & Meredith Lewis Day phone Mailing address 20245 Riverside Drive, Eagle River, AK 99577 Site address NSN Harmany Ranch Road Legal description (Sub'd., Block & Lot) Harmany Ranch - Eaglet Aerie, Lot 3 Legal description (Township, Range & Section) Lot Size 85,728 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: • TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑X Septic Tank FKUpgrade El(w/wo AD U) (D) ❑ Holding Tank El Renewal Renewal ❑x Priv Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ 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. 'ea of property owner or authorized agent) Permit/Rush Fees: A16— — Waiver Fees: Date of Payment: q1 oM f O'Z Date of Payment: Receipt Number: 6-190 S� Receipt Number: Permit No. Q 5/��9,/ 3,?( Waiver No. Permit App_ - : • :-'._'c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221386, Curtis Townsend, 11/03/22 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 Wastewater Disposal System Permit Permit Number: OSP211458 - Effective Date: Work Type: Septic Initial ==` ' — Expiration Date: n n v Department Tax Code Number: 05038183000 Site Legal Address: HARMANY RANCH - EAGLET AERIE LT 3 6:0260 Site Mailing Address: Owner: LEWIS JAMES D & MEREDITH H Lot Size in Sq Ft: Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: This permit is for the construction of: 10/29/2021 10/29/2022 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ 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 Received By: Issued By: Jui6 6 Date: l� Date: /d shy NCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 050-381-83 Property owner(s) James & Meredith Lewis Day phone Mailing address 20245 Riverside Drive, Eagle River, AK 99577 Site address NSN Harmany Ranch Road Legal description (Sub'd., Block & Lot) Harmany Ranch - Eaglet Aerie, Lot 3 Legal description (Township, Range & Section) Lot Size 85,728 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field Q Initial R Single Family (SF) ❑X Septic Tank n Upgrade F](w/wo ADU) Holding Tank ❑ Renewal ❑ Duplex (D) ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ 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. (Signature of property owner or authorized agent) Permit/Rush Fees: -i'J _ Waiver Fees: Date of Payment: 0 a 7 ,�0'2 Date of Payment: Receipt Number: 0 8 0 9 16 Receipt Number: Permit No. 0.5P2.1 114513 Waiver No. Permit App__- : • Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211458, Rebecca Carroll, 10/29/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211458, Rebecca Carroll, 10/29/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211458, Rebecca Carroll, 10/29/21 DcD`�✓ 68.4' -- -- - -- --' ©®Oo Q o `° o 0 o p 0-0o V) ' CL as s - ro u,V N aS 0U- Oo -0 NQu�r3 CO C 8.0 2.0 0o ° h6 GD oo 14 0 16.0 O,Uz > a) O cd� o :>Ar _ t_ U) O 3z _ L'i a a o rn 40 2.0' o� AD `4/cc �c � o r9 oo o - a 0-0 00 o 0 0 `�\ (} �n ou a �o m r7 �-i c 00 Ctj N / p �� ` I-� Cli Q� o O ° c p r `� h� cd i-1 asi o aa' o' .� Q.. N i a yd `� *—i ` U c 'D Y O Li r p � p �^r �\\ s o En E o� a ®000p4p� �9��pQ \ / o o) 0 'o N c� a 0 Q �/ O omo > rn O �j ��: l V i 0 o m arc o "oma Q� N _ m c POs A Q) _) I �(/ V t'� DSV ,! p� / ° ami tea° N (D U) i ami n J � � (A z axi o � o, Q) -jv o 00 v a b o ca a,0C , oEn /OL 0 o 0 / U L > o d w DOC COmm ILL Ik COLE ULLIVA,N WATER WELLS *P;RO. Box 670269, Chuglak, AK 99567 688-27q$ OWNER OFLAND: Jerry Harman ADDRESS ch Eagle River, AK 99S77 LEGAL DESCRIPTION HannanyRanch Subdivision Lot 3 (Well 3A) DATE: 7-26-17 pcnxxnmuxx8cn: O3p171189 DATE VpISSUE: 7-36-17 TAX IDENTIFICATION NUMBER 05038102000 |swell located atapproved permit location: [\|Yes| |No [`�71 �� yNethodnfDriU�in�� �airrotary L�cab|etoo| Depth ufWell: 405' CasingType: Steel Wall thickness .250 inches Diameter: 6 inches, depth 391 feet Liner type Static Water Level: 164 feet Recovery Rate 10 [7 8pm \ > gph Method ofTesting Air Well Intake Opening Type:| |openend Nupenhu|e n Screened Start feet Stopped F—1 ----- ----- �� Pe�oetions Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth: from Z feet, to 43 feet Well Disinfected Upon Completion: i�(yes Ono Method ofDisinfection: Chlorine 5OPPM Bore Hole Data Casing Stickup Overburden Gravel &Clay Silt & Clay Gravel Water Clay Clay &Gravel Silt& Sand Water Clay &Gravel Silt & Sand Clay &Gravel -, Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality nfAnchorage: Department of Health & Human Services and/or Department of Environmental Conservation. K4atSu Borough: Department ofEnvironmental Conservation. OWNER OFLAND: Jerry Harman ADDRESS: Bore Hole Data Depth From To LEGAL DESCRIPTION Harmany Ranch Subdivision Lot 3 DATE: 8-30-17 PERMIT NUMBER: DATE opISSUE. TAX IDENTIFICATION NUMBER |uwell located stapproved permit |ooaiun:| |YesF|No Method ofDrUUf� F�oQ� airrotary L�cab|etoo| Depth ofWell: 75' Casing Type: Steel Wall thickness .250 inches Diameter G inches, depth 75 *ec, Liner type Static Water Level: Z feet Recovery Rate .S [X1 8pnn | ( Qph Method ofTesting Air Well Intake Opening Type: Mopen end |/openho|e M Screened Start 70 feet Stopped 75 F� --- ---- Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth: from I feet, to 42 feet Well Disinfected Upon Completion: [�2,jyes | |nn Method nfDisinfection: Chlorine SUPPM Comments: 4 68 68 75 Casing Stickup Overburden Clay & Gravel Silt Sand &Gravel Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper amhnrity. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. COquitUnutj "44P AK, mm Vl- OWNER OF LAND: ADDRESS: LEGAL DESCRIPTION __ _ _ Certified Drilling Log_. Q DOC CO dba BILL 8c COLE ��► ULLIVAN WATER WELLS r—P.O. Box 670269, Chugiak, AK 99567 688-2759 Jerry Harman Harmany Ranch Subdivision Lot 3 (Well 313) DATE: 8-24-17 PERMIT NUMBER: DATE OF ISSUE: TAX IDENTIFICATION NUMBER Is well located at approved permit location: ❑Yes ❑No Method of Drilling: ®air rotary ❑cable tool Depth of Well: 85' Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 85 feet Liner type Static Water Level: DRY feet Recovery Rate DRY ❑ gpm ❑ gph Method of Testing Air Well Intake Opening Type: ® open end ❑open hole ❑ Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 501 s Depth: from feet, to feet Well Disinfected Upon Completion: ❑yes ❑ no Method of Disinfection: Comments: Bore Hole Data Depth From To 0 2 2 4 4 55 55 65 65 85 Casing Stickup Overburden Clay & Gravel Silt & Sand w/ Some Gravel Clay & Gravel Drillers Name: Cole Sullivan i AAiN1l / ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. 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: OSP171239 Work Type: Well Initial Tax Code Number: 05038102000 Site Legal Address: T14N R1 W SEC 22 NW4NW4 AND S2NW4 G:0260 Site Mailing Address: 8251 HARMANY RANCH RD, Eagle River Owner: HARMAN JERRY Design Engineer: This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft Total Bedrooms: cY►ent S �o Department 8/23/2017 8/23/2018 5227200 ❑ 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: t j- 1. When well testing is complete, the well driller shall place an approved sanitary seal on the well head and no j; pitless adapter or pump shall be installed until an approved wastewater disposal system has been constructed. bah (F1 2. Prior to final plat approval, existing 2017 well n proposed Lot 3 shall be decommissioned. Received Issued B By: t _ Date: By 6`-12�// 7 CC) tl)el ( l oC6ihof1 movrL d 2, Gve /(5 6/1 10-t _/a d�Comm 1,55,onej . k1j1A1 � Date: 2 J 117 3 MUNICIPALITY OF ANCI - O [-; AGE • Community Development Department , =- Phone: 907-343-7904 Development Services Division ' Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/ WELL PERMIT APPLICATION Parcel I.D. COS '-3 '/- D-2 Property owner(s) 6K,t4 1st . IlAKm n-„r Day phone .Ci'— tk:203/S 7 Mailing address ft . 40-1:- , - e7e{7/c 0,0-fee. -,/tif.45,e4 9 5&1 7 Site address ,goZS/ //1Pkl µ,,r / /70 S gvyves.;., k7—PO 5' Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section)77vW_gip(' sa.�.„?, A/it,9„ViA.91 Acro 5.. Ai s4,) Lot Size Sq. Ft. Number of Bedrooms '/ ? APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field E Initial QI Single Family (SF) 7 (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 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. - (Sig.- re of p1.perty owner or authorized agent) Permit/Rush Fees: t •D Waiver Fees: Date of Payment: Date of Payment: Receipt Number: 1 t3 Receipt Number: Permit No. OSP M Ming Ving Waiver No. Permit App_9-1-12_doc wi w 0 C) N g CA �I cn �cb C2 Cb IV o� .VIV �w W O MOA CASE NO. 512058-1 :100 HARMANY RANCH SUBDIVISION PROPOSED LOTS 1 —12 pro eDseJ L.d-12_.(( 1.oc44 Tei 30' RIGHT-OF-WAY ESMT. `4' i-,.. yy-----e __ - fl_Fl / (BK. 2684, PG. 291) 1-11-Y 's � � � S 89°55'46"E 475.08' AM 61,1 +U'— F "� POWER POLES 3.01• :.1 oa' "Xr iv• 412.07' CI r 0 - SS ) . uN -\ 2 � °3 5'' EXISTING fp9,, \ SHOP —� . •pS• ` 2 \ \ '`` ` 4r S). \ LOT 1 ' \\ \ 61,021 S.F. 4 .�4� " ,s,v., \ �'-\ c WELL 1 Ge% ��e,.-- ` `ac' S t? ate. \ A `. TRANSFORMER • •Sj 61,r-c3 \OCnT �� O $ '�\ & 'i • p LOT � X.O \ �C� \ ' 67,060 S.F. , c 00 'al \ rt,ok, IT ?R, J, s• 1 u'�\ . a �`U. 1 A\ '� ' ' fs!,0 s ams °'`9 `P(.3` LOT 3 M \ .4. LOT 12 ' �^ ° 3 r 85,728 S.F. N 49,095 S.F. \ �,� \ :AI CV �� r�, \ ti. ?69 43co s s9 • 4 65 6°���,� \� s 4,1, � j8� LOT ,a ?,�63d N- ' Ate, "y.,- pi•\ - �N fir. 'Q94, CO 0 ,, O "7 O 43 LOT 11 o`�� ,s,. ��"°\ �` LOT 5 G aha. �; ° MUNICIPALITY OF ANCHORAGE0,5 On-Site Water &Wastewater Program PO Box 196650 4700 Elmore Road f. * Anchorage,Alaska 99519-6650 Phone: (907)343-7904 Fax:(907)343-7997 ^ http:llwww.muni.orglonsite 1 cpartmcnt .. cM_OR0t On-Site Water System Permit Permit Number: OSP171189 Effective Date: 7/26/2017 Work Type: Well Initial Expiration Date: 7/26/2018 Tax Code Number: 05038102000 Site Legal Address: T14N R1W SEC 22 NW4NW4 AND S2NW4 G:0260 Site Mailing Address: 8251 HARMANY RANCH RD, Eagle River Owner: HARMAN JERRY Lot Size in Sq Ft: 5227200 Design Engineer: Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field D Septic Tank ❑ Holding Tank ❑ Privy El 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 (2417)_ 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: When well testing is complete, the well driller shall place an approved sanitary seal on the well head and no pitless adapter or pump shall be installed until an approved wastewater disposal system has been constructed. Received By: '7►ti _ Date: L I Issued By: Date: MUNICIPALITY OF ANCHORAGE Community Development Department ter _ Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 05'0 - 3 a 1- 01 Property owner(s) 34 rN �-( ',rYhb•.Y-x `` Day phone gaO 5)c I N Mailing address PO 'oNic g i VD. 1})4S.t\A Irl_ q -7 Site address S'2St f--igr p-tow." •?0Jt Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) %/yAJ R 1 W Sec 2-2 A3t.c)9 J3WH a'J\ 62 MW y Lot Size Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑ Initial Single Family (SF) Septic Tank ❑ (w/wo ADU) ❑ Upgrade Holding Tank ❑ Renewal Duplex (D) ❑ ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well 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. CLAit CaLul 1.1-etAA--1 (Signature ofproperty owner a4oriz d agent) Permit/Rush Fees: -tI Waiver Fees: Date of Payment: 07--i1-1-7 Date of Payment: Receipt Number: 2.0 `g Receipt Number: Permit No. 68P«'([29 Waiver No. Permit App_9-1-1 2.doc MOA CASE NO. S12058-1 Woo HARMANY RANCH SUBDIVISION PROPOSED LOTS 1 -12 proease c..1 LW 4....(( locgti As_e_e_.4 4_0 rte clywizA.D 30' RIGHT—OF—WAY ESMT. ,���p�,� -� (BK. 2684, PG. 291) — `l 11 r S 89°55'46"E 475.08' 0.1.4.141.11,- 41•-)w-'1"--s POWER POLES 3.01' .,°C). ..00' ^L 412.07' S 61 0 ua \ E SHOP 4. �'� r?S0SS�9 F ..--) \ \ \r, ?4l S). 7 \ ` .-'\'''-j.-....,,,_.. LOT 1 w� \:' '..5 ,,t E 61,021 S.F. �, 3' \ �\ , \i-' 6. Rc�o 861 - i \ to 6+� ooh r-k- 411/4) • /( ) .7 �� \ 0 w TRANSFORMER HONE•. 6`j S1O� 1p \ LOT G _ as b*DE5TAL '�? `16•6`', 0 \ ... \ 67.060 S.F. ``c, �_c �' F co \ �Q, \ Dq' Rix• tS� N to uto(D, r \ LOT 3 .,F, 12 \ a 0 s. 49,095 S.F. g 85,728 S.F. .� cp \ 00s \ ti 0 p \ s? \ rp 11, .S' -4- •S9. + `S4°r . 0 S�' ?' Z %�ti°`� \s.9 \ ;� LOT 4 ,w � ,Or ,s'48. �6o'y S 'Q�q�� 8�0� 87,421 S.F. Oct, ...> AD �� iso 0sF�°y,� z �ii w `'s. `7,•` N LOT 5 40,�. LOT 11 N �, ,`*. �� �sN 73,029 S.F. cc,