HomeMy WebLinkAboutMILE HI BLK 3 LT 3
P.O. BOX 6650
Av,,ICHORAG,._, ALASKA ,99502-0650
~c07', 264-411;
TO¢~,~'/ (NOWLES.
DEPARTMENT OF HEALTH & HUMAN SERVICES
January i0, 1986
TO: Permit Applicant
Subject: Permit # 850276
Lot 3 Block 3 Mile Hi Subdivision
A permit issued by this Department for an individual well and/or on-site
sewer system has expired as of December 31, 1985.
Permits are issued on a calendar year basis by authority of Municipal
Ordinance. A new permit must be obtained from this Department for any
well and/or on-site sewer system not installed by the expiration date.
If you have drilled the well, a well log needs to be sent to this
Department for documentation of the installation and to close the permit.
If a private engineer inspected the installation of the on-site sewer system
the original as-built inspection report(three part form) must be sent to
this office for review and approval,and for documentation.
If there are any further questions, please call this office at 264-4720.
Sincerely,
Susan E. Oswalt
Program Manager
On-site Services
SEO/ljw
eric: Copy of Permit
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., A u e p nty
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P O L'>o.~i 6-650
ANCHORAGE, ALASKA 99502r0650
(907) 264r4111
MA
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Permit ~: 840260
January 31, 1985
TO: Permit Applicant
SUBJECT: Lot 3 Block 3 Mile High Subdivision
A permit issued by this Department for an individual well
and/or on-site sewer system has expired as of December 31,
1984.
Permits are issued on a calendar year basis by authority
of Municipal Ordinance. A new permit must be obtained from
this Department for any well and/or on-site sewer system not
installed by the expiration date.
If you have drilled the well, a well log needs to be sent
to this Department for documentation of the installation
and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, the original as-built inspection report
and the yellow copy must be sent to this office for review
and approval, and for documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Keith E. Bandt, SupeYvisor
Environmental Engineering Program
KEB/ljw
enc: Copy of Permit
SWP/057
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DEPTH TO PIPE 80TTOM ,:.'FrT. :.', 4.. 0 4. 0
GRR',,-"EL [:,EF'TH ,::FT. ) 4-. 0 F'L 5
TOTRL DEPTH ,::FT. ::' ','Z:. 0 4. 5
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GRFI',/EL L. ENGTH (FT. ::' 47. 0. :~:4.. 0
GF::~.%,'EI... VOLLIHE ,::CU. '~.'[:,S..':.' :L:~iL t~; ;~'~:~.. 4
'TRNK SIZE ,::GFILS) Z., 000, 0 :+::+: :!.., 00El. 0 :+:-'+:
SOIL. RRTING ,::SQ. FT. ,-,'DR) ~.25 J. 25
4.8
2-:.5
7.5
5.8
4:i.. 0
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I ]:EF'T i F"¢ T141":iT: .
· '±. I izli"l F'FIMIL..IF:tR WITH THE RF_:QUtRE-]HENTS FOF.: ]N-'Z:;'[TE SEHE. RS FINE:, I,.!ELLS R::; SET
FORTH : THEi MI IN!F:IPI..':IL. iT,' OF ~.l ...... Il ..... ~L ,::HOFI::, F-IN[:,,THE S]"FITE OF FILFIE;KR.
· .::, .:, d IN Fi ....... I:~'[:,Fi?-,I(]E WiTH FILL. MOFi CODES I::IN[:, REGUi.d:I-TIONS.,
'.2. I t.,iILL iNSTF'IL!... THE ~,~.--'""c-,-
FINE:, I N .COHPL',r.I::!NCE !,.I i TH THE: [:'ES I EiN CRt TER I Fi OF TH ! S F:'ERH t T.
2:. i WiL. L FIDHERE TO FILL '4C~t'q I::] l",! i'.':' ST,q/TE OF ~ Fi:'r'q F'Fg~U!REHENT'G FOF.: TFIE SET E:FtCK
D I STFINCES F:'F.':OH F~I'.,t'¥' E;:.(I.:,, I N ]..,,,.~, ,_, 1,JIqSTE].4F-FFEF. [:, ! L::;F'OS~aL S'T'STEH _IF.' F't_IE:I_ I E:
:,,.zI..IEF. H.~E S'¢STEM ON THIS:; OR. FIN'-? t::t':,0'RCENT_ . . OR NEF:IF.:E:"r' LOT.
· '4... ! UI",IE:,ERSTFIN[:' TI'-IF!T THIS F'ERM!T IS "Ft.I[:' FOF.: R i"IF~.:'::T.t"I_t"I OF 2-: EE['F.'ZOMS FINE:'
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._ _
IF FI LIFT STF:ITION IS IN'::;]"F:II LEC' IN FIN c-?,*-'::, '~-'v'F'F'ED B"r' i"t]¢:i Et tILE:,ING F:OC, ES.,
THEN *:'.1.) FIN ELECTRiCRL F'ERHIT FINE:' iNSF'E(::TiDt%I ."lUST E',E OE:TFtINE[:'.~ "2) FILZ,-E:UILTS
i-4tLL N(]T E:E FIPPF:O'v'E[) H'[TI-OIJT f:tN E_FCTR!CFd- IN:::;PECTIEd"~ R.'-zF'OF-'T.; FIN[:' 'Z::" THE
ELECTR, ICFtL F'!UST E:E DONE E:V F4 L :NSE[:' ELE]TF.:iCiFt[',I.
) ^ [:'RTE: ' ' ~ '
'S I GNE[:,
F!PF'L i CRNT:
I S L:;, LIE [:,
DF:FFE:
PERFORMED FOR:
LEGAL DESCRIPTION:
1
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3--
4
5
6
7
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9
10
11
12,
13
14
15
16
17
18
19-
20-
COMMENTS
PERFORMED BY:
72-008 (6/79)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
WASGROUNDWATER ~ O ~
ENCOUNTERED?
O
P
E
IF YES, AT WHAT
DEPTH?
DATE PERFORMED:
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
_.!I
~:',, ' I 1,~
PERCOLATION RATE
~/J ~ (minutes/inch)
TEST RUN BETWEEN , FT AND -- FT
X///////X/,
~ CERTI F~/~//
// /