HomeMy WebLinkAboutT13N R3W SEC 13 LT 110 N2
p. O~"="'? X 196650
ANCr~ORAGE, ALASKA 99519-6650
(907) 264-4~k'lx 4 ? 4 4
TONY KNOWLES,
MA YOF~
DEPARTMENT OF HEALTH & HUMAN SERVICES
January 22, 1987
C.R. Kron
7529 East
Anchorage,
6th Avenue
Alaska 99504
Subject:
T12N R3W SEction 13 Lot iliA
On-site Well Permit ~860187
T1-FN R3W SEction 13 N½ Lot 110
On-site Well Permit '~860186
A permit(s) issued by this Department for an indivual well
and/or on-site sewer system has expired as of December 31,
1986.
Permits are issued on a claendar 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.
In addition to the expiration of the permit, the
subject permit(s) were not paid nor the permit(s)
the applicant.
fees for the
signed by
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.
The fees for the permit will need to be paid and the permit
signed by the applicant if any or part of the installation
has been installed.
Program Manager
On-site Services
RWR/ljw
~-tUNIC!PALI YY OF~NCHORAG'E
DEPARTM;:HT OF HEALTH ANS EN~,. .~',~HENTAL PROTECTION
825 L STREET~ ,~,,~,HOHAGE~ AK ~9501
2b~-4720
ON'SITE WELL PERMIT
PENNIT ~0: D60186
SATE IBBUED: 06/20/86
APPLICANT: C,R. KRON
ADDRESS: 7529 E. ~TH AVE,
ARCHORAGE~ AK 9950~
SO~iACT PHONE: 5~-64~5
LEGAL DEGCGIP: SUBDIVISION: N/A LOT: N1/2 t10 BLOCK: N/A
S~:TIO.: 15 TOWNSHIP: 1~4 RANGE: 5W
. that:
1, ~ a~ ~amiliar with the' re4uire~ents tot on-~tes~e~ ~nd wells ~s set
~o~th by the Mu~icipm]iLy o~ A~cho~(MOA.)~d t~State o~ Alaska.
2~ I ~ill install the s~stem i~ m~ord~c~with all MQA codes and ~egulatioos~
' a~d in compliance with t~e ~r, c~ia o~ t~is permit.
3. I will adb~e ~o all ~OA add S~te of Alaska ~equirements {o~ the set back
distances ~om any existing well, wastewater disposal system or public
sewerage syste~ on this o~ am/ ad3acer, t o~ nearby lot.
SIGNED DATE:
APPLICANT: C.G. KRON
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