HomeMy WebLinkAboutT12N R3W SEC 15 LT 129
Tom Fink,
Mayor
Muni. cipality Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
January 10, 1991
Paul Alexander
4201 East 104th Avenue
Anchorage, Alaska 99518
Subject: T12N R3W Section 15 Lot 129
Permit #900094, PID #015-482-16
The subject permit, issued by this office
well and/or on-site wastewater system has
31, 1990.
for a single family
expired as of December
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
this office for documentation of the
the permit.
log needs to be sent to
installation and to close
If a private engineer inspected the installation of the on-site
wastewater system, the original as-built inspection report
(three-part form) 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: $90.00 for an
on-site wastewater permit; $50.00 for a well permit; $140.00
a combined on-site wastewater and well permit.
for
If you ?lave any question~
Since ly/, / ,/
doh P
Pro~ram Manager V
On-Site Services
please call this office
at 343-4744.
JW/ljm:200
enc:
Copy of Permit
"Kids Are Our Future"
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PERFORMED FOR:
LEGAL DESCRIPTION:
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Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
Township, Range, Section:
SLOPE
WAS GROUND WATER C~
ENCOUNTERED? ~'JO /~
IF YES, AT WHAT SL
DEPTH? --- pO
E
Oel)lh lo Waler Alter
SITE PLAN
il
Reading Date Gross Net Depth to Net
Time Time Water Drop
PF:RCOLATION RATE --
(mmules/mchl PERC HOLE DIAMETER
TEST RUN BETWEEN .i FT AND __ FT
PERFORMED BY: I~, J~ ~ I G'-'~'-~'~'~, __[~ J~N/ I L..~'--['"'~(~..~__ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND ~ JNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DA1 E: ~ '- / ~ -- ~ 0