HomeMy WebLinkAboutT15N R1W SEC 30 Lot 52
MUI-~ I C- I PFIL I TY CmF FtNFjHCm~zFtF_~P'
DEPRRTMENT,/-'% HEALTH RND ENVIRONHENTRL/~0TEOTIOM ~C, ~ ~
8~5 ~ STREET, 8NCHOR~G[., ~K. 9S ~
blELL PERil I T
P.O. BOX 197 E.R 9~577
6~4-2588
LOT SIZE ~0000 SQUARE FEET
~INIMLIM DISTANCE BETWEEN A HELL AND ANY ON-SITE z, EWM~E DISPOSAL S'¢STEM IS
I00 FEET FOR A PRIVRTE WELLs OR
i50 TO ~700 FEET FROM A PUBLIC HELL DEPENDING UPON THE TYPE OF PUBLIC HELL
HELL LOGS ARE REQUIRED 8ND MUST BE RETURNED TO THE DEPARTMENT WITHIN _~0 DRYS
OF THE HELL COMPLETION.
- OTHER REQUIREMENTS MAY RPPLY. SPECIFICRTIONS AND CONSTRUCTION DIRGRRHS RRE
RVAILABLE TO INSURE PROPER INSTALLRTION.
PERt-11 T EXP I RES DE£:E["IBER 3:1-.. 1.978
I CERTIFY THAT
l: I AM FAMILIRR WITH THE REOUIREMENTS FOR ON-SITE SEWERS 8ND HELLS RS SET
FORTH BY THE MLINICIPRLITY OF ANCHORRGE.
2: I WILL INSTRLL THE SYSTEH IN 8CCORDRNCE WITH THE CODES.
[...~~~,) ..~,~;, . - ~.
S I~]NED:-¢."~-L0¢/2--i~'- -~--- ' ........
~PPL ICANT R. KEKONI
, , .. . /
by
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2589
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION d ,~-~ ,~L<'C ~ 'l--),~-l'rd /~/~ 5'~7 ~
DRAW DOWN ~.
PE~IT NUMBER ¢[~ O~6 7 KIND OF CASING
STATIC LEVEL OF WATER FT.
/O
G or"_2
KIND OF FORMATION:
From O Ft. to I Ft.
From I Ft. to / I Ft
From ] ] Ft. to &e~ Ft.
From Ft. to Ft
From Ft. to.__ Ft
From ~Ft. to Ft
From .Ft. to Ft
From__.Ft. to Ft,
From Ft. to__Ft.
From .Ft. to Ft,
From Ft. to Ft.
From Ft. to Ft.
From__.Ft. to Ft,
From__.Ft. to__Ft.
From .Ft. to Ft.
From .Ft. to Ft.
From Ft. to Ft,
From Ft. to.__Ft._
From Ft. to Ft
From_ Ft. to Ft.
From .Ft. to.__Ft,
From__Ft. to Ft
From__.Ft. to Ft.
From__.Ft to.__Ft,
From Ft. to Ft,
Frmn Ft. to Ft.
From__.Ft. to Ft.
From__Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft.
From Ft. to. Ft.
From Ft to. Ft.
From Ft. to Ft,
MISCL. INFORMATION:
/ 2 7-o
DRILLER'S NAME ,~.]./-'~f]]~''~' ...... ¥>