HomeMy WebLinkAboutSCHROEDER EAST BLK 1 LT 28w
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DEPARTMENT OF' HEALTH FIND ENVIRONMENTAL PROTECTION
825 'Ll* STREET, ANCHORAGE, AK. 99501
264-4720
PERMIT NO. 800026
APPLICANT JAMES HICKEY P10 BOX 279 99567 694--9996
LOCATION JUAN ITA LOOP LOT SIZE 10000 SQUARE FEET
LEGAL LOT 28 BLOCK I SCHROEDER S/D '
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON --SITE SEWAGE DIESPOSAL SYSTEM IS
100 FEET FOR A PRIVATE WELL. OR 150 TO 200 F*EET FROM A PUBLIC WELL. DEPENDING
UPON THE TYPE OF PUBLIC WELL.
WELL. LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
pmEEF,�pjj-r F=o. _jL 0—:=j :L:3 f D
1-4
I CERTIFY THAT
i: FOR ON --SITE SEWERS AND WELLS AS —SET
I AM FAMILIAR WITH THE REQUIREMENTS
F'ORTH BY THE MUNICIPALITY OF ANCHORAGE.
I WILL INSTALL. THE SYSTEM IN ACCORDANCE WITH THE CODES.
SIGNED:
APPLICANT JAMES HICKEY
9 - 6 - Q0. V4. 0
ISSUEDBy ------------------------------------ DATE-iQ --------------
DEPARTMENT ^F HEALTH AND ENVIRONMENTAL PROTECTION
825 STREET, ANCHORAGE, AK. 01.
64-4720
Fl F fv' til I -F /
C
PERMIT N0. l
aPPL I CANT �) !' i) C
_OCATIONI't�� CcCr�
_EGAL i r < <� LOT SIZE SQUARE FEET
TYPE OF SOIL ABSORSTION SYSTEM IS:
9AXIMUM NUMBER OF BEDROOMS = SOIL RATING CSQ FT/BR)=
THE REQUIRED SIZE OF THE Sf1IL ABSORPTION SYSTEM IS:
C>E_F"T "- l L_EErAC3-r"— 0 F-'-> F�'�E-:I._ LD, E:F'-T "�
THE LENGTH DIMENSION IS THE: LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A TRENCH OR PIT I5 THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION CIN 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 CIN FEET).
S Es L`pi u I FE:-:7 . S a F' `f- I C -r 1=1 N K '—c,- 1 r= r3 P1 L_. L_.. C B�•9
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUME?ER OF RESIDENCES THAT THE WELL WILL SERVE.
...- _._..m r' G4 CD C - 7 T P-4'_:5 F"r E. � C _F I C-3 r-4 ni3 t� 6:ZZ L-= Fes' f 0 L1 I Fe a r_'-� A e
rRACKFILLING 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.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT 141 TH I N 30 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. `SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
FaEFft'� T FE:f"' F C.'- f-[= t'tf='+F a: a
I CERTIFY THAT
1: I AM FAMILISR WITH THE REQUIREMENTS FOR ON-SITE SEWERS
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
3 : I �_INDERs AND THAT THE ON-SITE SEWER SYS CEh1 MA4' REQU I FIE
RESIDENCE --3S REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
SIGNED .
APF>t.; ICANT -�
I S''SUED BY42__ _ L_ - .4yt � �- �! i, L '.-------- DATF__ .--
I:
i :�p r ��
AND WELLS AS SET
ENLARGEMENT IF THE
V3. 2
OWNER OF LAND
ADDRESS -
LEGAL DESCRIPTI
DATE - Started
PERMIT NUMBER
KIND OF FORMATION:
Trr.tfirb Dritting :ifxg
Dy
DOC Co, dba
SULLIVAN WATER WELLS
P.O. BOX 272, CHUGIAK, ALASKA 99567 a TELEPHONE 688-2759
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DRILLER'S NAME
APR I A 11980
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5i,947 SI LNr '' s } 'NE REB% LERTIF. THAT WE ARE THE OWNERS OF fn -
�. +. IS /� - PROPERTY SNCMN AND OESCHSE_D HEREON WE HERESY
O Q ll° - REQUEST APPR04PL Ow THIS F.AT, SHOWING "ON ECSEPoENAV$`,;.
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FOR PUBLIC UpLITIES AND ROADWAYS OEBGATED. BY 6^3
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SUBSCRIBED AND SWORN BEFDRE ME THAST)A OF
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THE LERAANED R CIETEREC SJRVEYOR HEREBY LERT F
P S LAND SURVCY HAS BEEN CZLD _TED BY WE ON
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ROIISE A a AEILE ES".XgCEDER ROBERT 5 JOHNSON ,E S
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