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HomeMy WebLinkAboutBRAENDEL CREEK LT 11Onsite File Braendel Creek Lot 11 PID# 050-313-58 (Formerly Roseberry Park Estates Braendel Homestead Tract) Municipality of Anchorage Community Development Department On -Site Water & Wastewater Program 4700 Elmore St. ■ p.0. Box 196650 ■ Anchorage, AK 99507-6650 la www.njuni.argLonsiie_ ■ (907) 343-7904 Legal Address: _ i 8525 i t 0-; i pr Subdivision fp s rr� i Pnr�c S{� B -6(L C! meS�ccc1 Troci 3 R Lot section on Lot _.......... Name: �C ry ICj�4� 5 ,{ �,�— (� (� ( Signature ry�-,- Company: SIA l Ii 10,0 k6r UC.V S Well decommissioning date: _/_-17-1 G•_ Method of decommissioning: AMC 15:55.46pL1 Location: Use the space below to provide a drawing of the property showing the following items; • North Arrow • Decommissioned well, • Other water wells on the property, • Two separate swing -tie distances for each well shown in the drawing, Notel The swing-tle distances shall be measured from either permanent structures of property corners 1 Y(145P DOC Co, SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 * TELEPHONE 686-2759 OWNER OF LAND ADDRESS P /3 LEGAL DESCRI~ION DATE- Started Ended PERMIT NUMBER DRAW DOWN FT. GALS. PER HR .... "':~'~ O K~N, OF CASINO, C~ g: KIND OF FORMATION: From O. Ft. to 02 F,. e_,~S',,O~ ~C7--/C~C ~tP F~om~. From ~ Ft. to % Ft. D O~ .~, ) ~ ~ ~ ~ From From ~ Ft. to 30 Ft. f~'~ ~,j,~C ~ CO~'<~CFrom From~O Ft. to ¢~Ft.~/cT~ Cc,4~ ,~d8~C From__ V~m Vt. to ~t. ~~ Vro~ From__Ft. to Ft. ~ O~ ~ ~ From E~om , ~t. to . ~t.3 ~ r~ F~o~~ From Ft. to Ft. From From Ft. to Ft From From Ft. t° Ft. From From Ft. to Ft. From From Ft. to Ft. From From Ft. to Ft. From__ From.~Ft. to Ft From~ FI. to Ft. Ft. to_. Ft. ~Ft. to , Ft. Ft. to Ft. to , Ft. Ft. to Ft. Ft. to~ Ft. ~Ft. to~.Ft. Ft. to__Ft. Ft. to , , ,Ft. Ft. to Ft. Ft. to.. Ft. Ft. to Ft .... Ft. to Ft Fi. to Ft. Ft. to, Ft. Ft. to Ft MISCL, INFORMATION: /~ ~c¢. / /Z~ ~' · " 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:SW940227 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:BRAENDEL ARTHUR W & OWNER ADDRESS:P.O. BOX 770474 EAGLE RIVER, AK 99577 DATE ISSUED: 7/08/94 EXPIRATION DATE: 7/08/95 PARCEL ID:05031343 LEGAL DESCRIPTION: BRENDLWOOD TR A1B LOT SIZE: 625957 (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 (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) 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. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: ~ DATE: DATE: MUNICIPALITY OF ANCHORAGE ENgiRONMENTAL SERVICES DIVISION 1994 RECEIVED ! I