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HomeMy WebLinkAboutUS SURVEY 3201 LT 29 T10N R1W SEC 29 Tom Fink, Mayor uni¢ipaH y , horage Department of Health and Human Services 825 "L" Street P,O, Box 196650 Anchorage, Alaska 99519-6650 January 10, 1991 Ronald and Kelly Brandt 885 Phillips Avenue Vista, California 92083 Subject: U.S.Survey 3201 Lot 29 Permit #900033, PID #090-021-06 The subject well and/or 31, 1990o permit, issued by this office for a single family on-site wastewater system has expired as of December 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, a well log needs to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site wastewater system, the original as-built inspection report (three-part form) 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: $90.00 for an on-site wastewater permit; $50.00 for a well permit; $140.00 for a combined on-site wastewater and well permit. If you have any questiz3ons, // Sin.c~re~y, ~ l/ P~og ~am Maf~ager (Mn-site Services please call this office at 343-4744. JW/ljm:200 enc: Copy of Permit "Kids Are Our Future" 8;?,,5 L. S'LPee'L,, Anchor'ace!~ A].as~,ka 995():~ J:NF:C',Rk} D.,t!,,H.S,, F>RJ:OR TO fNSPE:CT]TOBIS BY ENG:I:N!EER, IF AFTE:R iHi:',:~ I:'Ei:,~PI]:'I EXPHRE:S :[2/3:L/90 AND VALID FOR A S!NGL..E FAM]:L.,Y HOME:,. CX)NSI'RUC'i F:I:TR E:NG]:N!~]ER',S ATi'AC;HI:~Et) i"iA:~N'i¢::}:N A Pi.!:N:~tdt.IM OF: 4. FOOl SEF::'ARAT];EtN 'I'0 GROUND WA'rlSF( 'I'ABL.E L.OC2:Y'IE:D A'I ':I,,4 F:E].E'! F"i::;;OM }30T']'C:iI~I C)I::: SYSr'IEM; :3. ! J,,~:i.:!.]. acl!'~e:,l'e I'.c:) alI MOA ~':~r'~(::i S{.a'Le 4. Z undE,:,i'sLar~d tha'L 'Lhis [~eP~,:i.l:. J.~!5 a.r)y carl].af'qcrfi~;.~l-tC.., w:L]:L requ:Lr'e afl additJ, cma! per'mit,, (O(4ncn') Fd:~F~E~:LL.Y ~.)RANL)T Municipality of Anchor-ge DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage~ Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST G~oL 1 2 3 4 5 6 7- 8- 9- 10- 11 12 13 14 15 16 17 18 19- 20- COMMENTS Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? DEPTH?tF YES, AT WHAT M0nil0ring? ~f,, ~r Date: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE [( ~ (minutes/inch) PERC HOLE DIAMETER 3 FTAND ~ FT - PERFORMED BY: ~V~O~&~-~t~'~ ~ ~%~:~ i ~ ~-~{~ CERTIFY THAT THIS TEST WAS PERFORMED IN AOOORDANOEWI'HALLSTATEANDMUNICIPALGUfDELINESlNEFFEOTONTHISDATE. DATE: ~/'~/1~' 72~008 (Rev. 4/851 August 13, 1989 The undersigned give Ike Kelly the authority to take any D. E. C. approved soil, water or sewer tests he deems necessary for permit approval on Lots 29 and 5, Birdcreek small tracts USS 3201. This authority shall end 8/1/90. Melana H. Brandt