HomeMy WebLinkAboutT14N R2W SEC 11 LT 55 S2 REM
Al>ri% 29~ 1977
~76124
Albert Van Orn~
Post office Box 788
Eagle River~ Alaska
99577
S%~J ect: Permit Exp_ranion
Dear ME~ Va~ Ornu!~
A peach, It issued by this department for well and/or on-site
sewer installation on T14N E2W Seotion ll $½ Lot 55 has
expired since the issue date e×c~eds one (1) year.
In the event you still plan to install the w~311 m~d/or on-
site sewer system, a new p~it is required. %'he original
soil test ~my be used to obtain a current
If the well has be~n drill~d~ a well tog should be sent
to this department to document ~e installation date.
If you have any questions regarding the above matter, please
do not nesztate to contact this offic~ ~ediately at 279-
2511, extension 224 or 225.
Sineere%y~
Les N. Buclf~olz~ R.So
Sanmtarzan
~NBolJh
PERMIT N0.
APPLICANT
LOCATION
LEGAL
r, IL:NICIPRLIT~' OF Rr~CHORRr]E
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 E. TUDOR RD., ANCHORRGE, AK. 9950?
WELL PER~I IT
( 76~24 )
ALBERT VAN ORNUM
MI l~. ~ HWY
S 172 L55 SEC ii Ti4N R2W
P 0 BOX 788 - E.R.
LOT SIZE 40000 SQUARE FEET
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR R PRIVATE WELL OR 200 FEET FOR R PUBLIC WELL.
WELL LOGS ARE RE~.UIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN -~0 DAYS
F'ER~i I 3- %~RL I P FOR O[-4~ ~RR FF:OM I SSLIE
I CERTIFY THAT '-~ RS ~
i: I 'AM FAMILIAR WITH THE REQUIREMENTS Fo~ON-SITE SEWERS AND WELLS
FORTH BY THE MUNICIPALITY OF ANCHORAGE. ~ ~.
2: I WILL INSTRLL THE SVSTEN IN RqCORDRNCE W~H THE CODE~.
SIGNED:__