HomeMy WebLinkAboutMORTON ESTATES Block 4 Lot 7
PERM I T f',lG:
DATE ISSUED:
DI...I Ah. ] I' E.I',I T OF' HEALTN AND I.~;NV ]:RONMENTAL F ROTE. C ] .I. ON
· ~ ~' ~ ~' " f ..... Al':;; '9~='('
8 ..... I.... STREET, ANCb~ORA..~E.~ ....
264-4720 '
'El9/()9188
AF'PL I [;AN]':
ADDRESS:
CONTA[Y.'f' PNONIE:
DONALD DEARMOUN
;~;75:1. MATTHEWS DRIVE
ANCHORAGE, AK ';'?95 16
:]';45-0395
LEGAE DESCRIP:
LOT SIZE:'
SUBDIVISION: MORTON EST.~2.
ol::.L, 1 IDN: :[9 I"OWNSHI P: 12N
1~.86. (SQ.FT. OR ACRES)
LOT: 7
RANGE: 3W
BLOCK: 4
I cer'ti~'y that.:
1. I am ~'amiliar w:i. th the requirements For on-site sewers and wells as set
Forth by the Municipality o~' Anchorage (MOA) and the State oF Alaska.
2. I will install '~:.f~e system in accordance with all MOA codes and regulat:i, ons,
arid in compliance with {Ine design criteria oF this permit.
3. I w:i. ll adhere to all MOA arid State oF Alask.a requ:[r'emer~ts For the set back
distances From any ex:i. sting well, wastewater disposal system om" public
'sewerage system on this o~]y adjacent or nearby
P.O. BOX 6650
ANCHORAGE, ALASKA 99502-0650
,'c~07) 264-41 i 1
DEPARTMENT OF HEALTH & HUMAN SERVICES
January 10, 1986
TO: Permit Applicant
Subject: Permit # 850572
Lot 7 Block 4 Morton Estates Subdivision #2
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