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O'BRIEN BLK 5 LT 9
O' BRIEN BLOCK 5 LOT 3 014-131-18 TITLE TRANSFERRED W/O COSA. NO BUILDING PERMIT MAY BE ISSUED UNTIL COSA COMPLETED! PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW950111 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:FREEMAN CARL J & LINDA A OWNER ADDRESS:7307 O'BRIEN ST ANCHORAGE, ALASKA 99515 DATE ISSUED: 6/13/95 EXPIRATION DATE: PARCEL ID:01413118 LEGAL DESCRIPTION: O'BRIEN BLK 5 LT LOT SIZE: 15000 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAAC80) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. 6/13/96 SPECIAL PROV~~~/~~ RECEIVED B~~,/,/( ) ~__~'~~- ISSUED BY: ~~ DATE: DATE: J.~tOd3W NOIJ. O3dSNI U3/~i coz 0 ZUOdgW NOI±O3d,SN! W3/~3S LOT'- ©~' To lo /o'~ .~ o J-D ,v e ~ 7/I:g,,~,5 - /06"75o /:/- //-/,~ Zed A m e ,e ~ c ,~ x; ,w/,~ Je /6/ell C'a ~ , ~Z / //,, o .~ ~ _~_ :~ 7,~ T / ~. / ','-e e 7'- Da~y & Albrecht Builders ~qua~e £eeg oil ~eepage am~a ~n conJuncg~c~ ~th m 1,O~) gallon sep- g~c ~ank. ~r~b (8'xO'~§') i~ a hole XO'6"~ZO*~'~ and pro~y backftll~n~ ~t wi~h &ravel. Xf ~he hou~ will 1~ served by a deep well, you will 'b~ required ~eC ~h~ diat~mce ~e~i~eman~ ~o Ch~ ~e~age eye,em a~ oa ~h~ p~p~r deap wella~ .29 Augxu~t 1968 Daily and Alb:ceeht Builders Apa:etment 8 1.555 Net. china A~mhorage, Alaska .......'RR' Percolation ~..~ e,,,~'~', Lot 9, '~..,Iock'" 5, O'Brten gukdtvis tub This letter i~; to certify ttm. t a i~rcolatiou tofst wa~2; cond.cted the above-.mentioned property. ']"he test was made i~ a fom:~i, nch diameter auger bori~,q in the. bottom of a test pit et the !oeatJ_mt shown o~, the attached sheet, along with the test log and data. The test was madca in accordance with t]~e Creater Anchorag'¢,, Area L'.orough i;'eal.th Dcpartm. ent f~pecifications as prescribed itt Appendix !3 of the Natimml Plumb/.n;3' Code, 1962 Revkdon, ~che percolation z'ate as tested was one i2ch in 1.2 mim!tes. ','- -- "' ' submitted, ALAa.,:-.A GEtzI..O(.fCA!, CC, NSU!,TANTS jA H:j Attach. Greater Ancho:ca?,ie Area.:o, ott, ,~"~ Fedex'al ~'M'o:~i~p:,, Authority - r/t-.���Cc��:./L..0 Cir/✓: i'SHCET NO.. - . ......... OF ......... . ..... ...._.......DATE.__....._......... BUBJE�// ' ,V=. BY...............DATE ............ ..... ........... T2-71 ................. _...... _..... JOB NO. .................................... ___._ r 1.... / .......... _..................................... _.._Q.T...... Z,..... Q_C�r{C::..� vliC�/ /:........................ 010 / �rozz/-1 o� P 0 12.2. G r.9 Ac- ZZlex 7L& TEST P/T L06 /-,-7- �/O C rl J j � Lir/ e H SCi6O�li/J/O/-j Oofe ; 61-28-68 O�pr� 77.T,„e- ru A/as Gro%icol �:�-v ./..5 /�iv�ar7— X968 It�rco/a7/o,� ?=r% 7. ; A/as Gro%icol �:�-v ./..5 /�iv�ar7— X968 It�rco/a7/o,� ?=r%