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Hefty Drilling
S.R.A. Box 1553 H
Anchorage, Alaska
99507
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l~lLl~-~ I C: I F ]L IT~' mDF A~C:Hr' ~F~ISE
DEPARTMENT O~ .~EALTH AND ENVIRONMENTAL ~. ~TECTION
825 "L' STREET, ANCHORAGE, AK. 99501
264-4720
~ELL PE~.~ IT
PERMIT NO~ ( 8~0208 )
APPLICANT WAYNE ,(~... JAN'ICE ~IENHART ]:100 MT VIEW DR ANCHORAGE -gq='~-.._,~ 279-1994
LOCATION SINGLE FAMILY DWELLING
LEGAL L~ BROWNS ~ ~/~ LOT~'-IZE ...... g~'~ _.QU~EE~ - ' FEET
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE WELL OR t58 TO 200 FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
F'E61:I'-I I T E::-=:F' I RES [:,EC:EMBEE: _---~:±..
I CERTIFY THAT
±' I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
~" I WILL INSTALL THE S,,c,~,~
_~_~ IN ACCORDANCE WITH THE CODES.
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