HomeMy WebLinkAboutT13N R3W SEC 13 Lot 12 of 26
825 "L" S-I'RE ET
ANCltORAGE, ALASKA 99501
(907) 264 4111
GI'ORGE M SULLIt/AN,
January 4, 1982
Alton W. Hopkins
8400 Dunlap Ct.
Anchorage, AK 99504
Permit ~ 810928
Subject: T13NR3W S. 13 L12 of 26
A permit issued by this department for a well and/or sewer
system has expired as of December 31, 1981.
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 should be sent to
this department to document the inshallation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builts for our
files.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
p~oSg~mB~hnha~le~FL~~'
Sewer and Water Program
Enclosure: Copy of Permit
F'ERHIT NO. <
g, EPF!R'I"HENT OF HEFIL. TH RN[:, EN',,,'IRONHENTRL PROTEC]'ZON
825 '"L'" STREET, RNCHORRGE, RK. S~95~:1.
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8'.:L E~9 2 8 )
F!F'F'L I CFff-,tT
L~OCRT I ON
LEQRL
RI_TON t.4. HOF'I<INS
TtgNF,'ZW_,.'-- t3, Lt2 OF~6';"'
SFIhtE
,_,41dLl E:,I_INLFIF' E:T C~$'%~C°~I
LOT .=,I~E
o, _.d SL.-.!IJFIRE FEET
h!INtMUM D I'--,TFtNF:E_ _ E:ETWEEN Fl b~EL.L RN[) RNY ON-SITE SEI.,.IRGE DI..,[- c :,Li_,HL'" '=- '::...,'r_,TEPI' ":' ' IfS
___ _-- _ ____TO :...',.-,,.', FEET FRLH R PUE, L ZL. I.,.IELL £:,EF'ENDIN,.3
FIINZMUM DISTFtNCE FROP1 R PRZ",,'FI'I'E HELL TO Ft PF..'I","RTE SEI.4ER LINE IS 25 FEET FINE:,
TO R COHHUNIT'¢ SEHER LINE IS 75 FEET.
HELL LOGS RRE RE~UIRED RNE:' MUST BE RETURNED TO THE DEPFIF..'TMENT t.'.IITHIN 2:¢ DR'CS
OF THE HELL COMPLETION.
OTHER REC,!LIIREMENTS MFi"? RPPL'¢. SPECIFtCRTIONS 19ND CONSTRUCTION DIFIGRRf'tS RRE
RVRIL. RBLE TO INSURE PROPER INSTRLLRTION.
I CERTIF'¢ THRT
t: I BM FRMILI!qR HITH THE REQUIREMEENTS FOR ON-SITE SEWERS RND HELLS RS 'SET
FGRTH Ei'¢ THE MUNICIPRLITN' OF RNCHORRGE.
2: I HILL INSTFILL THE $'¢STEM IN RCCORDFiNCE WiTH THE: (]ODES.
S I GNE[:,: ..............................................................
iF'PLI CRNT RL,~ [,/. HOPK I NL~
FOR'i'H 8'/ r~,': NUN [ C [PI'It_
\14, I~
T, his well,is proOucmg~.~d~'~galIons ~"%water per hour
MOON DRILLING
BOX 3370
PALMER, ALASKA 99645
~T, ELEPHONE 745-4071
Lot ....... -Bll~.~--,-~.,~ro~.., ~. ' WE EL LOG
126 2~
z2~ 227
165 266
166 266
TO
R
0
M
SUBJECT
REPLY
SIGNED
SEND PARTS 1: AND :3 INTACT -
pART 3 WILL BE RETURNED WITH REPLY.
DATE
rBrbunle~ POLY PAK (50 SETS~ 4P472
L ..,~ RECEIVED
· ~¢"~ , INSPECTION APPOINTMENTS ~~ ---v~.......-.~ /(..4./~ J .~ o '
MUNICIPALITY O~
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
99501
) ENVIRONMENTAL SANITATION DIVISION AU6 1 8 1981
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL ~ATER AND SEWER ~AClLITIES
TYPE OF RESIDENCE ' ' NUMBER OF BEDROOMS '
~ One ~ Four
~ SINGLE FAMILY ~ Two ~ Five
~ MULTIPLE FAMILY ~ Three ' ~ Six
[] Other
7, WATER SUPPLY
~' INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled 9rior to that date, give well
[] PUBLIC UTI LITY depth (attach log if available.)
s. SEWAGE DISPOSAL SYSTEM
[] INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED.
~ PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROON1S
[] SINGLE FAMILY [] ONE [] THREE [] FIVE, [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tank or [] Holding Tank
Size: If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUI:ACTURER
TOTAL ABSORPTION AREA MATEFIIAL
4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
§. COMMENTS
~PPROVED FOR ~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY /~