HomeMy WebLinkAboutDEBORA #2 BLK D LT 5ck �-,�Ck -kA-- ;)
I
ij�v C)4 b � cj� k � kzl
11U" I C I�FnL I TY OF RrJCI�nRF1GE
DEPARTMENT HEALTH AND ENVIRONMENTAL ROTECTION
825 'L' STREET, ANCHOP.AGE, AK. 99501
264-4720
WELL PERI�'1 I T
PERMIT NO. C 830417
APPLICANT MIKE GALLAGHER 6621 E 12TH ST 333-5981
LOCATION LOT SIZE 999999 SQUARE FEET
LEGAL L583� DEBORA #2 t SL,(a ti
D
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE l•JELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM A PRIVATE I -JELL TO A PRIVATE SEWER. LINE IS 25 FEET AND '
TO A COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F}ERt•1 I T >4 F} I RES E>ECEE: MJaER ='- :3:
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IPJ ACCORDANCE WITH THE CODES.
SIGNED: -
APPLICANT
ISSUED BY_ — —
GALLAGHER
c� 0 _R3 V4. 0