HomeMy WebLinkAboutCAMPBELL HEIGHTS BLK 4 LT 6A
I O I/'"RL I T%-' OF
DEPARTMENT c. HEALTH AND ENVIRONMENTAL , ROTECTION
825 ~L~ STREET, ANCHORAGE, AK. 995~i
264-472~
IWELL PER~ I T
828~76 )
APPLICANT
LOCATION
LEGAL
JEFFREY THIMSEN
L6A B4 CAMPBELL HTS
4430 MARS DR
LOT SIZE
34~-~294
8740 SOUARE FEET
MINIMUM DISTANCE E:ETWEEN A HELL AND ANY ON-SITE SEHAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM R PUBLIC ~ELL DEPENDING
UPON THE TYPE OF PUBLIC HELL
MINIMUM DISTANCE FROM 8 PRIVATE I,IELL TO R PRIYATE SEI4ER LINE IS 25 FEET 8ND
TO 8 COMMUNITY 5EI,IER LINE IS 75 FEET.
HELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEF'RRTMENT WITHIN ~O DRYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. 5PECIFICRTION~ RND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERr'I I T E×P I RES DECErlBER 31~ 198~--'
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEHERS AHD I,~ELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I t~ILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
V4. 0
POU,3H 6-650
ANCHORAGE. ALASKA 99502-0650
(907) 264-4111
DEPARTMENT OF tlEALTHAND [N¥tFIONMENTALPROTECTK)N
~Permit f: 820076
.January 31, 1983
TO: Permit Applicant
Subject: Lot 6A Block 4 Campbell Heights Subdivision
A permit issued by this department for an individual well
and/or on-site sewer system has expired as of December 31,
1982.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well, a well log needs to be sent
to this department for documentation of the installation
date and to close the permit.
If a private engineer inspected the installation of the
on-site sewer system, please have them send us the as-builts
for our files and documentation.
If there are any further questions, please call this office
at 264-4720.
Sincerel%
Robert C. Pratt, R.S.
Acting Program Manager
Sewer and Water Program
RCP/ljw
enc: Copy of Permit
SWP/057