HomeMy WebLinkAboutALYESKA BASIN #5 BLK 20 LT 11%
Nlunicipahty
Anchorage
P.O. B,,..,X 196650
ANCHORAGE, ALASKA 99519-6650
(907) 264-4111
TONY KNOWLES,
MA YOR
DEPARTMENT OF HEALTH & HUMAN SERVICES
March 24, 1987
William D. Campbell
PO Box 875
Girdwood, Alaska 99587
Subject: Lot 11 Block 20 Alyeska Basin Subdivision
On-site Well Permit #860076
A permit issued by this Department for an individual well and/or on-site
sewer system has expired as of March 21, 1987.
Your permit expired on the date of issue basis by authority of Municipal
Ordinance existing at that time. A new permit must be obtained from this
Department for any well and/or on-site sewer system not inStalled by the
expiration date. The new permit will come under the calendar expiration
date as per the new Wastewater Ordinance (effective May 20, 1986).
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 343-4744.
Sincerely,
Program Manager
On-site Services
RWR/ljw ¢~7
enc: copy of permit
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L..OT SIZE."
SUBDIVISION: ALYESKA BASIN
,~E[.]ION: :16 TOWNSHIP: 10N
14784 (SQ.FT~ OR ACRES)
LOT: 11 BLOCK. 20
RANGE: ,',
I c:er"Lit'y that:
1. I am Camiliar with the re(:luiremer~ts for' on-.:sit, e sewers and wells as set
eot'Lb by t.l"le Mun:[c:ipality o~' Anc:hor'age (MOA) and the State
2. I wi].l ir~st.a].l the sys'Lem in acc:opdance wit. h all MOA codes and r'egulat:i, ons,
and :i.n compliance w:i. th 'Lhe de,sign cr. it. eria of 'Lh:i.s permit.
:3. I w:i. ll adhePe to all MOA and Bt. ate of' Alaska r'equit*ements~ for 'Lhe set..bac:k
dist. anc:es from any ex:Ls'Lir'lg well, wastewater clisposa], sys¢'Lem or I:)ublic:
~ewe;,rage sy~st, em on this oP any ad.jac:ent, or nearby lot..
AF 1'" L.. I [:gNT. ~ I L.L. ]2 gl ~PE'ELL.
/ unicipal :y
of
Anchorage
P.O. B 196650
ANCHORAGE, ALASKA 99519-6650
(907) 264-4111
TONY KNOWLES,
MA YOR
DEPARTMENT OF HEALTH & HUMAN SERVICES
June 23, 1986
William D. Campbell
P.O. Box 875
Girdwood, Alaska 99587
Subject:
Lot 11 Block 20 Alyeska Basin Subdivision
On-site Well Permit #860076 - Issued March 21, 1986
On May 20, 1986, The Anchorage Assembly approved a new ordinance
regulating on-site wastewater disposal systems (septic systems).
All septic systems constructed after the effective date of this
ordinance are subject to the provisions of this ordinance.
Our records show that you currently hold a permit for the installation
of a septic system. We strongly urge that you contact this office
prior to constructing your system. Any changes in the code that could
impact the construction requirements of your septic system will be
identified and brought to your attention. Please contact the
Environmental Services Division at 264-4720.
Thank you for your cooperation.
Sincerely,
Susan E. Oswalt
Program Manager
On-site Services
SEO/SSM/ljw
DATE RECEIVED
INSPECTION APPOINTMENTS
¥1ME TIME TIME '
DATE DATE DATE
1NSPECTOR INSPECTOR INSPECTOR
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF H~ALTH &
825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTECTION
ENVIRONMENTAL SANITATION DIVISION JA[~ 2 I981
Telephone 264-4720
r%
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed..Please allow ten (10) days for processing.
1' PROPERTY OWNER / ~ ~ / / ' ~ PHONE r
MAI LING ADDRESS
15ROPERTY RESIDENT (If different from above) ' ' PHONE
2. BUYER PHONE"
MAILING ADDRESS
3. LENDING INSTITUTION ' I' PHONE
I
MAILING ADDRESS
4. REALTOR/AGENT I PHONE'
MAILING ADDRESS
6. TYPE OF R~DENCE NUMBER OF~BEDROOMS
~ One ~our ~ Other
SINGLE FAMILY ~ Two ~ Five
~ MULTIPLE FAMILY ~ Three ~ Six
7. WATER SUPPLY
[] INDIVIDUAL*
[~BMMUNITY
LIC UTI LITY
8. SEWAGE DISPOSAL SYSTEM
F--I~I DUAL/ON-SITE**
~ PUBLIC UTI LITY
* ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
NUMBER OF BEDROOMS
1. TYPE OF RESIDENCE
[~M U G LE FAMILY
LTIPLE FAMILY
2. WATER SUPPLY
[] INDIVIDUAL
MMUNITY
BLIC UTILITY
Connection Verified
3. SEWAGE DISPOSAL SYSTEM
cDuUA L/ON-SITE
TILITY
Connection Verified
[]Septic Tank or []Holding Tank
Size: If Tank is homemade
give dimensions:
[] ONE [] THREE [] FIVE
[] TWO ~'~ [~"~OU R' [] SiX
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOILS RATING
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
Septic/Holding Tank
[] OTHER
4. DISTANCES
WELL TO:
IAbsorption Area
Sewer Line
INearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
[~APPROV ED FOR ~1~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE
72-010 (Rev. 6/79)