HomeMy WebLinkAboutCARROLL LT 9Carrol I
Lot 9
#006-322-07
Permit Number: OSP121243
Tax Code Number: 00632207000
Work Type: Well
On-Site Water System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
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Permit Effective Dates: August 15, 2012 to August 15, 2013
Design Engineer:
Subdivision: CARROLL
Site LegalAddress: CARROLL LT 9 G:1537
Owner/Address.' YU JIN
6741 GLOUCESTER PL ANCHORAGE AK 995043343
Department
Site Mailing Address: 2630 CARROLL PL, Anchorage
Lot Size in Sq Ft: 6986
Total Bedrooms: 3
This permit is for the construction of:
N Disposal Field N Septic Tank N Holding Tank N Privy Y Private Well N Water Storage
All construction must 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 must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Date:
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Services Division
On-Site Water & Wastbwater Program :
Mayor Dan Sullivan
Phone: 907-343-7904
Fax .907r343-7997
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. O06 ~ _~.,~ '"/
Property owner(s)
· Day phone
Mailing address. ~'~,
Site address ~,ev~j"D~,q~
-Legaldescription (Sub'd~¢~ & Lot) ~.~-E.~lt~L ' [_,,~ mi-.
Legal description (Township, Range & Section)
Lot Size ~;~ Sq, Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
l~s0r~tJon Reid []
Septic Tar :[]
Holding Tank []
Privy []
Private Well ~'
Water Storage []
THIS APPLICATION lis AN:
Initial []
U. pgrade [].
Renewal []
THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR:
I certify that the above information is correct. I further certify that this application is being made
for a Single Family Dwelling and is in accordance with applbable Municipal Codes,
(Signature of property owner or_authorized agen, t) ¢'~ II
Permit/Rush Fees:
Date of Payment:.
Receipt Number:_
Permit No,
Waiver Fees:
Date o.f Payment;' .
Receipt 'Number:
Waiver No.:
G:~Buildin~On Site~Forms\Clierit Forms\Permit App_010411,doc
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SITE PLAN - NEW WELL LOCATION N
0'5' 10' 20' 50' SCALE: 1"= 30'-0"