HomeMy WebLinkAboutBENNETT LT 4A
Municipality of Ancho. ra e
Department of Health and Human Serwces
Tom Fink, 825 "L" Street
Mayor P.O. BOX 196650 Anchorage, Alaska 99519-6650
343-4744
March 1, 1993
Kathryn E. Allen
PO Box 93055
Anchorage, Alaska
99509-3055
Subject: Lot 4A Bennett Subdivision
Permit #SW910367, PID #012-381-80
The subject permit, issued November 21, 1991 by this office for a
single family well and/or on-site wastewater system, has
expired as of November 21, 1992.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $200.00 for an
on-site wastewater permit; $75.00 for a well permit and
$275.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
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On-site Services
enc: Copy of Permit
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW910367
DESIGN ENGINEER:DUMMY COMPANY
OWNER NAME:ALLEN KATHRYN E
OWNER ADDRESS:PO BOX 93055
ANCHORAGE, AK 99509-3055
DATE ISSUED:il/21/91
EXPIRATION DATE:il/21/92
PARCEL ID:01238180
LEGAL DESCRIPTION: BENNETT LT 4A
LOT SIZE: 9416 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT:
THIS PERMIT IS FOR THE CONTRUCTION OF:
WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAACS0).
3. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY:
ISSUED BY:
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