HomeMy WebLinkAboutT12N R3W SEC 15 LT 95
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~or'th by the Mun:i. cipal:LtW oF Anchor, age (MOA) and 'Lhc.~ St. ate oF Alaska.
:;~,, I w:i. ll ir~sta].l the syt~i'['.(~,~ll ir'i iltc:[zcH"cJancE~ with all NOA C:c}dE)Ei /~tF~(::} r'egulat:ionsh,
ancl ir'l comp].:i, arlce ~aith t, he d~sJ, gl"i cpJ. tel':[~ of this pepmit.
:3,, I will adheP,~ t(] a].l Iq[IA and State of Alaska P~:tE{I.,IJ.P.{F:~fl}EH"It{~ fOP t.l'le set back
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IF A I.IF]' STATION IS ]:IqS'TAI.L.ED :[Iq AN AREA [)OVERE]) BY MOA BLJII.DING CODES,
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WILL NOT BE AF'F:'ROVED WITI'IOUT AN ELECCTRICAI... INSPECTII]Iq REF:'ORT; AND (3) '['HE
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ANCHORAGE, ALASKA 99502-0850
;[907) 264-411 ~
OEPARTMENT OF HEALTH & HUMAN !;ERVJC~S
January 10, 1986
TO: Permit Applicant
Subject: Permit # 850588
T12N R3W Section 15 Lot 95
A permit issued by this Department for an individual well and/or on-site
sewer system has expired as of December 31, 1985.
Permits are issued on a calendar year basis by authority of Municipal
0rdinance~ A new permit must be obtained from this Department for any
~¢ell 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 insta]_lation 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 264-4720.
Sincerely,
Susan E. 0swalt
Program Manager
On-site Services
SEO/ljw
enc: Copy of Permit
IvlUNICIPALITY OF ANCHORAGE
DEPARTMEN'[ OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
PE RCOLATIOK
LEGAL DESCRIPTION:
1
2
3-
4
5
6
7
8
9
10
11
12
13
L ~'
Lo,AH
qs, Sec_ ,g,
SLOPE SITE PLAN
t~d(p
14
15
16-
17~
19-
20-
COMMENTS
TES'f RUN BETWEEN FY AND --
PERFORMED
72-008 (6/79)
;ERT F EDBY
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
PEREO MED EOR: l cog. HASo N
LEGAL DESCRIPTION:__
2
3
4
5
6
7
8
9.
10-
11
13
14
17
18
19 2225-E
IUNE 25~ 1971 ,,
COMMENTS
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
SLOPE SITE PLAN
Reading Date Gross Net Depth to Net
Time Time Water Drop
PERCOLATION RATE ~'~-- ~"~ ~) ~'~'/'minu res/inch )
TEST RUN SETWEEN FT AND FT
PERFORMED BY:
72-008 (6/79)