HomeMy WebLinkAboutPLEASANT VALLEY BLK 5 LT 8
POUCH 6-650
ANCHORAGE, ALASKA 99502-0650
(907) 264 4111
~Permit ~: 820695
:January 31, 1983
TO: Permit Applicant
Subject: Lot 8 Block 5 Pleasant Valley Subdivision
A permit issued by this department for an individual well
and/or on-site sewer system has expired as of December 31,
1982.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal ordinance.
If you have drilled the well, a well log needs to be sent
to this department for documentation of the installation
date and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, please have them send us the as-builts
for our files and documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerel%
Robert C. Pratt, R.S.
Acting Program Manager
Sewer and Water Program
RcP/Ljw
enc: Copy of Permit
SWP/057
PERMIT
DEF'RRTf"IENT ,~ HERLTH RND ENV i P::ONHENTF!L.f-''':'-''.; . Fu"_.I [,..hI'--
825 '" STREET., FINE:HOR~GE., FII.:::. 95
264-47'28
F~PPL i C.'F¢ N T
LOC:FIT I ON
!..EGFiI.~
STEVE PFIRKER
LSB5 F'LEF~SRNT ',,,'FILLE'¢
t:905 HULDOON F!77 95~504
LOT SIZE
~:2:'?-4274
5~5~9S~99 SQLIRRE FEET
MINiML!H [;,IS"I~.,~!qCE BETWEEN FI HELL FIN[) FIN? ON-SITE SEP.!RGE DiSF'OSFIL S¥STE]','I IS
::I..00 F'EET FOR FI PRI',,,'F!TE !4EL. L OR 21.50 TO 200 FEET FROM Fl PUBLIC 1.4ELL DEPENDING
UPON THE T'¢PE OF PUBLIC i4ELL.
i'!INIMUH DIE;TFt?.~CE FROM F! PRZ',/RTE !.4EL..L TO R PRI¥'FKFE SEWER LINE Z'_=; 25 FEE]'' FINE:,
'TO R COI'dHLIN:I:'T'¢ SE!*IER LINE IE; 75 FEET.
I.qELL LOGS RF?.E RE6!UtREE:, FINE:, I'IUST BE RETUFd'qED 'TO THE DEPFIRTMEI'.,!T I,.IITNIN 30 DFYr'S
OF TFiE WE'LL. COHPL. E:TION.
OTHER REE~L!!REHENTS; HR¥ RPPL.'¢. SF'ECIFICBTIONS RND CONSTRUCT!ON [:'IRGRRi"IS RRE
R","R!LRBLE TO INSURE F'ROPER INSTI~L!.FFr'!oN.
Z CERTIF'?' THFtT
Z: :£ RI',! F'RHIL. IF~R WITH THE RE~S!UIREHENT:S FOR ON-:SITE SEP.IERS FIND NELLS
FORTH B'.r' THE IdUNZCIF'FIL!-f"¢ OF RNC:HORRGE.
2: Z i,.tZLL INSTRLL. THE S¥S'TEM ZN RCC:ORDRI'-,!CE I.,.!ITH THE C:ODES.
.............................
RPF'LiCF~NT STEVE PRRKER
,_. ....... __. ....... .....
I.:,.:,lJ~:[ EFt' :~_~ ._F:,FK!"E__~_ ' ~
F]S SE"['
k,'4. 0
000000000000
o o o o o o o o o o o o
0
APPL(- .NT FILLS OUT UPPER ONLY
Buyer
Address Zip Code
/ Phone
Realty Co. & A~nt
Address Zip Code
Legal Description
Type of ResJ~nce
~ngle Family
~ Multiple Family NO. of Bedroo~
~ Other
Water S~ ~
~ual ~ A~ACH WELL LOG. A w~l log is required for all wells drilled
since
June
1975.
~ Community For wells drilled prior to that date, give well depth (attach log if aveilable),
~ Public Utility
Sewer Disposal
~ividual Year Individual Installed:
blic Utility When Connected to Public UBlity:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Inspector Inspector Inspector Inspector
Field Noles:\~. ,MUNICIPALITY OF/ANCI-IOP, AGE
REClinED
CON ITION~L P ROYAL*
DATE
Soils Ratin9 Date ~wer Installed Well To Absorption Area Well Log Received
Well lo Tank Septic T~k Size