HomeMy WebLinkAboutCAMPBELL HEIGHTS BLK 4 LT 6B0'.t7. 60 ooo
PERMIT NO. (
~'IU~-~ICIb ALIT~r' OF A~4CH,_~RAGE
DEPARTHENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 ~L' STREET~ ANCHORAGE, AK.
264-4720
L4ELL PERM I T
82~077 )
~PPLICANT
LOCATION
LEGAL
JEFFREY THIMSEH
L¢8 B4 CAMPBELL HTS
4430 MARS DR
LOT SIZE
~49-~294
8740 SQUARE FEET
MINIMUH DISTANCE e. ETWEEN R I,;ELL AND ANY ON-SITE SEHAGE DISPOSAL SYSTEH IS
100 FEET FOR 8 PRIVATE WELL OR 15~ TO 2E~ FEET FROM 8 PUBLIC WELL DEPENDIHG
UPON THE TYPE OF F'UALIC WELL.
MINIMUM DISTANCE FROM 8 PRIYATE 14ELL TO 8 PRIVATE ~ENER LINE IS 25 FEET
TO R COMMUNITY SEWER LINE IS 75 FEET.
;'~ELL LOGS ARE REQUIRED 8ND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~
OF THE WELL COMPLETION.
OTHER REQUIREMENTS HEY APPLY. SPECIFICATIOHS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATIOH.
PERMIT E×PIRES DECE~BER 31~ 19E:2
I CERTIFY THAT
l: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS 8ND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I MILL INST~LL THE SYSTEM IN RCCORDBNCE WITH THE CODES.
~IGNED: ......
~PPLI~'~' J~FREY THIMSEN
V4. 0
POUCH 6-650
ANCHORAGE. ALASKA 99502-0650
(907) 264-4111
DEPARTMENT OF HEALTH AND ENVIHONMENTAL PROTECTION
~Permit ~: 820077
.January 31, 1983
TO: Permit Applicant
Subject: Lot 6B Block 4 Campbell tIeights 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