HomeMy WebLinkAboutCRESTVIEW VILLAGE BLK 2 LT 10Asf.V
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Municipa iity
of
Anchorage
P O L,--,~H 6-65O
ANCHORAGE, ALASKA 99502-0650
(907) 264-4111
TONY KNOWt IS
MA YOR
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
Permit #: 840463
January 31, 1985
TO: Permit Applicant
SUBJECT: Lot l0 Block 2 Crestview Village 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,
Environmental Engineering Program
KEB/ljw
enc: Copy of Permit
SWP/057
MUN I '_~ I P.-~L I TY L--~F ANCHt,~AGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET.. ANCHORAGE, AK 99501
2~4-4720
O~-~--S I TE WELL PERil I T
!ERMIT NO'
~ATE ISSUED:
8404~3
0~?15784
NPPLICANT'
~DDRESS'
~ONTRCT PHONE'
SCOTT' FRRMSTAD
~28 BONIFACE #2~60
ANCHORAGE, AK 99504
277-8575
.EGAL DESCRIP:
.OT SIZE'
SUBDIVISION: CRESTVIEW VILLAGE.
SECTION' NA TOWNSHIP' NA
999999 <SQ. FT. OR ACRES>
LO~' i8
RANGE' NA
· CERTIFY THAT:
1. I AM FAMILIAR WITH THE REQUIREMENTS FOR oN-SITE SEWERS AND WELLS AS SET
~PPLICANT~' SCOTT FRAMSTAD
FORTH BY THE.MUNICIPALITY OF ANCHORAGE (MOA> AND THE STATE OF ALASKA.
I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODES AND REGULATIONS,
AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT.
I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK
DISTANCES FROM ANY EXISTING WELL, WASTEWATER DISPOSAL SYSTEM OR PUBLIC
SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT.
DRTE'
DRTE'