HomeMy WebLinkAboutCHUGACH TERRACE BLK 2 LT 1
DEPARTMENT OF HEALTH AND RO
8.35 L STREET., ANCHORAGE, AK 99501
264,-4720
O~--.S I 1-E. WEL. L_ F"ERH I T'
PERMIT NO:
[)ATE ISSUED:
AF'PL I CANT:
ADDRESS:
CONTAC'T PHONE:
840658
08/02/84
HERMAN J. SEIDE~
5518 CHILKOOT CT.
ANCHORAGE .~ AK 99504
266- 1-366
LEGAL DESC, F~ I P:
LOT SIZE:
!SUBDIVISION: CHUGACH 'TERRACE
SECTION: 5 TOWNSHIP: 15N
9550 (SQ. FT. OR ACRES)
LOT: 1 BLOCK: 2
RANGE: 5W
I certify that:
1. I am familiar with the requirements for on-site sewers and wells as set
~.orth by the Municipality o~ Anchorage (MOA) and the State of' Alaska.
2. I will install the system 'in 'accordance with roll MOA codes and regulations,
and in compliance with the design criteria o~ this permit.
5. I will adhere to all MOA and State o~ Alaska requirement~ .fop the s~t back
distances From ~isti~ell~ wastewater disposal system or public
sewerag~ystem~hi~~y adjacent or nearby lot.
S I, GNED :'~'~ DE~
ISSUED BY ~._~~ ....................... DATE:
PERMIT NO:
DATE ISSUED:
APPL I CANT:
ADDRESS.
CONTACT PHONE::
~IUN I C F'AL I TY OF AN[ I(]F~.AGE
DEPARTMEN~ OF HEAL~TH ~ND ENVIRONMENTAu PROTECTION
825 L STREET, ANCHORAGE, AK 995(..)1
264-4720
ON--[~ -~. "TEE: WEL_L PERM I 'T
840658
08/02/84
HERMAN J. SEIDE~
5518 CHILKOOT CT.
ANCHORAGE., AK 995(])4
266'- 1~66
LEGAl- DESCR IP:
LOT SIZE:
SUBDIVISION: CHUSACH TERRACE
S[:CTION: 5 TOWNSHIP: 1.5N
c~=" F~ OR ACRES)
~ ...... ~L) (SQ. .
LOT: 1 BLOI]K: 1'
RANGE: .::,W
I certify that:
1. I am familiar with the requirements for on-s~te sewers and wells as
~orth by the Municipality o£ Anchorage (MOA) and the State o£ Alaska.
~. I will install the system in accordance with all MOA codes and ~egulations,
and in c:ompliance with the design criteria o[ this permit.
3. I will adhere to al MOA and State o~ Alaska requirements {or the'set back
distances.from an~ existing well, wastewater d~sposal system or public
sewerage~ystem p~ ~is or any aajac:ent or nearby lot.
,
unicipa i y
Anchorage
P O I.~ ~ H 6-650
ANCHORAGE, ALASKA 99502-0650
(907) 264-4111
70NY t, N()W~
MA
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Permit ~: 840658
January 31, 1985
TO: Permit Applicant
SUBJECT: Lot 1 Block 2 Chugach Terrace 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,
rKeith E. Bandt, SupeYviso
Environmental Engineering Program
KEB/ljw
enc: Copy of Permit
SWP/057