HomeMy WebLinkAboutTHIRD ADDITION BLK 27B LT 6
Tom Fink,
Mayor
/ Iunicipality Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
September 24, 1992
F.J. Sandy Jackson
1342 Ingra Street
Anchorage, Alaska
99503
Subject:
Lot 6 Block 27B Third Addition Subdivision
Permit ~SW910303, PID ~002-162--43
The subject permit, issued September 24, 1991 by this office for a
single family well and/or on-site wastewater system, has
expired as of September 24, 1992.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well,
this office for documentation
close the permit.
a well log must be sent to
of the installation and to
If a licensed Professional Engineer has inspected the
installation of the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $200.00 for an
on-site wastewater permit; $75.00 for a well permit and
$275.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
Sincerely, / J
~ohn Smij~/ t.
iProgram '~anager
On-site Services
enc: Copy of Permit
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:SW910303
DESIGN ENGINEER:DUMMY COMPANY
OWNER NAME:MS. F.J. SANDY JACKSON
OWNER ADDRESS:1342 INGRA ST
ANCHORAGE, AK 99503
DATE ISSUED: 9/24/91
EXPIRATION DATE: 9/24/92
PARCEL ID:00216243
LEGAL DESCRIPTION: THIRD ADDITION BLK 27B LT 6
LOT SIZE: 7000 (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 FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
THE WELL MUST BE LOCATED A MINIMUM OF 100 FEET FROM A
SEWER MANHOLE, 75 FEET FROM A SEWER TRUNK LINE, AND 25
FEET FROM THE RESIDENTIAL SERVICE CONNECT LINE.
RECEIVED BY:
DATE
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