HomeMy WebLinkAboutPETERS GATE BLK 1 LT 1 locK
P.O, BO)'( 6650
ANCHOR,AGE, ALASKA 99502.-0~50
(.¢u / ) 264-4111
DEPARTMENT OF HEALTH & HUMAN SERVICES
January 10, 1986
TO: Permit Applicant
Subject: Permit # 850075
Lot 1 Block 1 Peters Gate Subdivision
A permit issued by this Department for an individual well and/or on-site
sewer system has expired as of December 31, 1985.
Permits are issued on a calendar ~ear 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.
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.
If there are any further questions, please call this office at 264-4720.
Sincerely,
Susan E. Oswalt
Program Manager
On-site Services
SEO/ljw
enc: Copy of Permit
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, ALaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
~- L,~
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION= L4:;~7" // /~'~/¥ /.!
SLOPE
1
2
3
4
5
6
7
8
DATE PERFORMED:
SITE PLAN
I
I~1
10
11
12
13
14
15
16
17
18
19
2O
54,,,'¢ ¢
~ ./2..
WAS GROUND WATER S
ENCOUNTERED? ~/~> L
0
IF YES. AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time ~ ~.,~T~rli~ ,. Water Drop
-;- oF 4/..~
~¢.~,......~......:,~ !~,_
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN FT AND FT
COMMENTS ~.~)~-~ ('~ P/~' = ~ TO ~OOT~ ~ ~ ~~ E~o~~
PERFORMED BY: ~gC ~&Cr~ CERTIFIED BY: DATE: ~ 2~ 7~
72-008 (6/79)
