HomeMy WebLinkAboutSCHROEDER EAST BLK 5 LT 4M-Umcipaliiy of Anchorage ����
Department of Health and Human Services ~�F.
825 1" Street I
Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650
Mayor
343-4744
November 15, 1994
Mr. William South
531 W. 15th
Anchorage, AK 99501
Subject: Lt. 4, Blk. 5 Schroeder East
Permit#SW93037®, Parcel ID #050-062-13
Dear Mr. South:
The subject permit, issued September 16, 1993 by this office for a single family well and/or on-
site wastewater system, has expired as of September 16, 1994.
A new permit must be obtained from this office for a well and/or on-site wastewater system NOT
installed by the expiration date.
If you have drilled the well, a well log must be sent to this office for documentation of the
installation and to close the permit.
If the on-site wastewater system has been completed and a licensed Professional Engineer has
inspected the installation of the on-site wastewater system, the original as -built inspection report
must be sent to this office for review, approval and documentation. All inspection reports must
be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00
for a well permit and $440.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
Sincerely,
lmes
I�J � 0.011
Cross, P.E.
Program Manager
On -Site Services
JC/kb
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW930370 DATE ISSUED: 9/16/93
DESIGN ENGINEER:DUMMY COMPANY EXPIRATION DATE: 9/16/94
OWNER NAME:SOUTH WILLIAM R
OWNER ADDRESS:531 W 15TH TY LNNE
ANCHORAGE, ALASKA 99501
PARCEL ID:05006213
LEGAL DESCRIPTION: SCHROEDER EAST BLK 5 LT 4
LOT SIZE: 15500 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
WELL SYSTEM
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).
THE ENG R MUST N DHHS AT STan
p TO EACH ECTION. IDE NOTBY
CALLING 3 744 OR 3 -4681 AFT _URS
FROM OBER 15 TO IL 15 SURFACE��S9IL
ORPTION SYS UNDER STRUCTION YJRING F ING
WEATHER M BE EIT
A. OP D AND ED ON T AME DAY
COVERS SEALED AND ATED TO P ENT FREEZING
5, THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:�tict� zmU
RECEIVED BY:a
LLLC-u�� c ri 3 P) G
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DATE:
( ��� � V DATE: 4 - / / - c;
ISSUED BY: /az