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EAST ADDITION Block 287 Tract C
January 4, 1982 Municipality of Anchorage Pouch 6-650 Anchorage, AK 99502 Permit %} 810918 T. C B 28F-A-~GH~;--©R~G.~ TWNSITE Subject: A permit issued by this department for a well. and/or sewer system has expired as ef December 31, 1981. Permits are issued ena calendar year basis, as stated on the permit~ by authority of Municipal Ordinance. If you have drilled the well, a well leg should be sen% te this department ho document hhe installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call 'this office at 264-4720. Sincerely, Leo N. Program bianager~-~ Sewer and Water Program Enclosure: Copy of Permi~ Applicant Location: Department 825 264-4720 * WELL AND/OR ON-SITE SEWER PERMIT 0 ~ /~ ~-C~, ~ Mailing Address: % ?~,~t~- Phone Number: Legal Description: Type of Soil Absorption System Is: Trench: Drainfield: '!UNICIPALITY OF ANCHORAGE Health and Environmental .,rotection L Street, Anchorage, AK. 99501 Maximum Number of Bedrooms: Lot Size: Seepage Bed: Holding Tank Soil Rating (sq. ft/br) I ~i- ~ The Required Size of the Soil Absorption System Is: ! The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /C)OO GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well 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 this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 1 * * * I certify that: (t) 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 in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 bedroom~.~ Signe~: .~, /!:/.~.O}~~ Issued by: '~' S'>~~ Applicant Date: ,~'~ // ~ ~'/) Hole No ............ ~ .......... g' iS .......~J-~! ....................... '%'pe of ~3orin(j ...... :~gSr_ Rig B - S 0 Oot'~ Hunicipal Contour Ma~ ,- ...... i~ I( Jr .... Horn ...... ~;.J.~ lbs. Loose da;ap b:~'owr:~ :.~u.,,[ dSP)- [P-~ Very dens:; 14 3 $3 o Rig arrive ~8.4~ a.m. IIole Caved 8 ft. ~ Completion o:£ Ho.~e AoT.D.* At Time of Drilling** [) Number of Samples Kept: LOCATION Ii',: BORING N U M B E L. iEVA'[ION PROVtl.)ED E)'¢ P,W, StJRV~LY hEP'CH 'r0 WAT~Lr:~ 150.OO' FIGURE t ODNEY P KINNEY AooOC