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PERHIT NO.
RPPL I CFhNT:
FIDDRESS: F'O E'.'OX
GIRDWOOD., FIK
LEGFIL DESCRIPTION - SUBDIVISION
LOT ::,I,~ 'E~S~':~'3~'i~' S6L FT. ~.'1~
I'tF~XII'IUH NUHBER OF BED, R. OOMS =
DEPRRTMENT C, HERLTH RND ENVIRONMENTRL F,;..!]TECTION
825 "L'" STREET, RNCHORRGE, RK
264-.,~7;-20 : RNCHORRGE '694-212i : EF~GLE RIVER
8FJ:±i 25 '
TIDE~4B]':ER. CRFE PHONE: 78]:-2824
US SURVE'¢ ]:"t88 BLOCK: NR LOT:
TOWNSHIP: - RRNGE: - SECT;ON: -
SOIL R. FITING = 0 E1 .0 (S6!. FT. ,-"BR;~
LISTED BELOI.4 FIRE THE OPTIONS F¢,/FiiLRBLE TO 'T'OU IN DESIGNING 'fOLIR SEPTIC
S'¢STEM. CHOOSE THE OPTION THAT BEST FIT% '='OLIR SITE.
i CERTIF"r' 'i'H¢iT:
i.. Z BM F'Ri4;~LIRR k!ITH THE RE6!LIIREHEN-FS FOR ON-SITE SEWERS BND WELL~ R~ 2;ET
FORTH B"r' THE MLINICIF'RLIT"," OF RNE:HORRGE AND THE: STR'TE OF RLRSKR.
2. I [4ILL INSTRLL THE S'¢STEM IN f:IC:C:ORDRNCE ~4II"H THE CODES RN[:' HRVE RECEIVED'
R COPV OF TFIE CODE SIJHHRR'¢ RND DiRGRRH RTTRE:HI"IEN~S 1.4HICH IS F'RRT OF THIS
PERNIT.
]:. I UN[:,ERSTRND THRT TNE ON-~ITE SEWER SYSTEM 1'4W¢ REQUIRE ENLRRGEMENT IF THE
RESIDENCE IS REMO[)ELED TO INCLUDE MORE THRN g BEDROOIdS.
PERMIT F~PPLZCRNT HFIS THE RE%PONSIBILIT'¢ TO INFORId PERSONNEL DURING
THE INSTFtLLFITIOH INSF'ECTIONS OF RN'¢ WE:LL% R[:,JRCENT TO THIS PROPERT'¢ RND
THE NUMBER OF RESIDENCE~ THRT ]-IE P.IELL [4ILL SERVE.
IF m LIFT STRTION IS LNS-r'RLLED, RN ELECTRICRL PERMIT RND ~NSPECTION MOST
8E'OBTRINED. F:IS-E~LIILTS CF~NNOT BE RPPROVE[:, WITHOUT RN EL..ECTRICRL INSPECTION
REPORT THE ELEC]'R!CRL kiORK NUST BE DONE B'¢ I::1 LZCENSED ELECTRICIRN.
SIGNED
qF'PL I CFINT:
T i [.,EI,~RTER CRFE
iSSLIED B'¢ DRTE:
.................................................................................................. q-p.
Permit
Applicant
MUNICIPALITY OF ANCHORAGE
Department~'-~ Health and Environmenta~rotection
825 _ ' Street, Anchorage, AK. _J501
264-4720
* * * HANDWRITTEN PERMIT * * *
~ ON-SITE SEWER PERMIT
Mailing Address:
LOcation: ~4: ~S~ g~-~4 ~f~.~ Phone Nuraber:
Legal Description: ~o~3 ~ .~c,~'A~,.~ ~/8~ Lot Size:
Type of Soil Absorption System Is:
Trench: Drainfield: Seepage Bed: __ Holding Tank:
Maximum Number of Bedrooms: ~ soil Rating(sq.ft/br)
The Required Size of the Soil Absorption System Is:'
DEPTH LENGTH GRAVEL DEPTH WIDTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~c3 GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
ofl residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
Backfilling of any system without final inspection and approval by this department
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 feet
for a private well or 150 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 this department within 30 days Of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 3L 1 9 S 3 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more that 3 bedrooms.
A~iC ant --~ - Date: ~/~ ~/~ ~/
SWP/024 (1/81)
April 25, 1975
Dept. of Environmental Quality
Greater Anchorage Area Borough
3330 C Street
Anchorage, AK 99503
Subject: Lot 3, U.S.S. 3188, Portage, AK
Gentlemen:
This office has no objection to the use of the holding tank located
on the subject property as long as it is determined that the contents
will be disposed of at an approved location.
Sincerely,
Regional Environmental Supervisor
cc: Sigurd M. Langnes