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T13N R3W SEC 15 NW4 NE4
POUCH 6--650 ANCHORAGE, ALAS'<A 99502 0650 (907) .264 41 ! I <Permit ~: 820027 .January 31, 1983 TO: Permit Applicant Subject: T13N R3W Section 15 NW¼ NE¼ A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerel~ Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw eric: Copy of Permit SWP/057 PERMIT NO. DEPRR'TMENT Cfi:' NERL. TH RND Ei"4VZROHHENTFIL PROTECTION 825 '"L" STREET, RNCHORF!GE% ~K. 9950& 264-4728 F!PPL.!CRNT THOMFll.':: GZLFIROI4SKZ 27'E~8 HR',/ITUR !-,.!R'-r' 975¢34 3:33-83';::'7~: L. OCRT ! ON LEGF!L Tt]:N R3:!-4 SEC 1.5 t'.,IH4 NE4 L. OT SiZE 8';:;':L20 SQURI.;~'.E FEET P'!I?',!IPIL.IM [:'tSTFiNCE BETHEEN R WELL RNC, RN',:" ON-S_T. TE SEP.IRGE D!SF'O.SRL S'T'STE,I"I ][% i00 FEET [:OR R PRIVF!TE HELL OR 150 TO 20E~ FEET FROM R PUBLIC: WELL DEPEN[:'ING UPON THE T"c'F'E OF F'UB-'LIC WELL. MINIMUM DISTRNCE FROM R PRIVR'TE NELL TO F! F'R!'¢RTE '_-TEI.4ER LZNEE IS; 25 FEET RND TO F! COMMUN!Tb' SEHER I,..!NE IS 75 FEET. kIELL L. OGS RRE REQUtl.;-:ED I.:IND MUST E-;E RETl.JRNED 'TO THE C, EPFIRTMENT I.,.I. ITHiN 30 ©WeS Of,:' ]-HE WELL C:OMPI.~ETION. OTNER F,'EQUIREMI.~:NTS MR'¢ FIPPL'¢. SPECIFICRTIONS RNB, CONSTRI,.ICTtON DIRGRRFIC; RRE FIVFO:I,_RBI._E TO ):N:L:;l.JRE PROPER iN~TRLLRTiON. ! CEF=:TIF'T' THFi-F ±: :l, Ri','! FRH:I,L. IRR .k!ITH THE: REQUiRE,~,'IENTS; FOR ON-SITE '.:]E!.4ERS FIND HELL.'.3 RS; S;ET FORTH E','¢ THE f'!UN:[CIPRLIT'¢ r_)F RNCHORRGE. 2: I WILL !NS?TRLL THE ?.r'S;TEi-i :l,N RCCORDF!NCE 14:[?'l,4 "FI.4E CO[:,EE;. S; i GF,!ED: ........................................................................................... FIF'PL l CRN"F TI,flOMFI.S G l LRROI4SI,C I 825 ~ ~hr~t, Anchorage, AK~ 99501 '~ '> ~ HANDWRITTEft P~RMIT ~ ~ ~ , . . - ' '~ lenghh dl~l~sio~ is bbc leagth(~ ~o~) of th~ trench 0~' d~'ai~iel4, azca,/at~on (~n E~t). ~ ~ REQU[RED ,~EPFIC(itOt. OI~h~) rANK SIZE = _~_ GALLONS PS~f~tt applicant has ~he ['eSpon~tbtL~ty to info[-m tht~ depa~tmm~t dt~in9 'the- ~ ~ ~' 1~/0(2) iNSPECTIONS ARE RS~UIRED ~' ~ ~ Sackfiklin9 o~ any system ~¢i~hOut fina[ gnsb~t~o~ and approval b~ th~ ~o~ a p~ivab~ w~LI or 150 tO 200 Other ~egukr~meflh~ ma~ ~pp~y, ~p~tfi~atJ. ons and ooasbruction dg~qeam$ are t corti~y that: (~) ~ ,m~ [.~li/a~ with the requirements s,~t forah t~y abe~4~mzc~pa].~ty of AnchOrage. (2) [ wLll ~%~_akl t}'~e~y~tJ~,- ~, in ,a~oo~dan~..-, ' - ~ with o~e~, :: ............................. swp/O~ 4 , [-..MUNICIPALITY OF ANCHORAGE,.--~ ~ ., Departmen~ ~ Health and Environmenta~ ?rotection '~ ~ 825 ~L Street, Anchorage, AK. 99501 264-4720 * * * HANDWRITTEN PERMIT * ~ * WELL ~R PERMIT Applicant:'"'/~O,~/~S ~,'l~2~~'~Ma-il'lng Address: ~Td~ ~//~e-~ Location: Phone Number: ~ ~,~--~S~ Legal Description: ~./a~ ~/~3 /~. ~J Lot Size: ~ ~y/~X~ Type of Soil Absorption System Is: Trench: Drainfield: Seepage Bed: Holding Tank Maximum Number of .Bedrooms: Soil Rating (sq. ft/br) The Required Size of the Soil Absorption System Is:' DEPTH ~ LENGTH ~ GRAVEL DEPTH ~ WIDTH~''~ The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and ~the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). ~ ~ REQUIRED SEPTIC(HOLDING) TANK SIZE = P~rmi~ applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well, Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may3 apply. Specifications and construction diagrams are available to ins.ure proper installation. ~ * ~ PERMIT EXPIRES DECEMBER ~1~ 1 9 $ 2 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality Of Anchorage. (2) I will install the system in accordance with codes. . sewer system may r~uire enlargement if (3) I understand that the on-site include more tha be co s. " the residence is remodeled to Signe~: Issued b Applicant Date: SWPI024(i/81)