HomeMy WebLinkAboutPARKER LT 12
I~te Drilled:
Static Water Level /8 feet
Gallons Per Minute
Draw Down feet
Total Feet of~Asing ~
Type Material Drilled:
o ~'eet to 3 $' J/,~/
to
Hefty Drilling
S.R.A. Box 1553 H
Anchorage,Alaska
99507
MUNICIPALITY OF ANCHORAOE
ENVI~ ,; ~;. LI i;'l,,. ['.;0, E.::,-!," .,I
Io,bd
RECEIVED
F'!EF:H 'Z T NO.
~1 FqF'PL 'r "..: Fi.'-~T J~:.Rr. r ..... '"" ' ' "-: "r: '".k'
LL']L-:FY]" ]: i:)N F:'FIF;;:,¥E~' :5'TF:EE:T
L.I-ZG,~L LOT
,:: 8±:J..;213.~.~1 .'.',
~ r",T :E; t ,= ....
E ';:':'?J E~, .5 Pi J,c:!!:;~:~.Z
H]:i"C. ZHUH D]::T:,"FFINC:E BETHEEN R HELL fiND
:[.OE~ .~::'[~E"I" F'0F: F! F';~:~::[".',,'I:~".I'E HELL.. OF;: ±!!5~3 TO
UPON THE: 'T?F'E OF' F'UE&..:[C HELL
H:[NZPII..IPi r:,:[:5"FFINCE: F'F.%)H r::t PR:[',,,'FiTE HELL 'FO F! F'.~;:.'['v'FiTE E;EHEF: L.:[NE :[% ;2~5 F'EE¥ FiND
¥0 F! COHHt. JNZT'¢ 5EHEF-..' LINE :[.'5 7D FEE:T.
HEL.L.L.O(:i~; RF:E RE%¢...!ZF~:ED FiND .HLiST DES RE'f'LIRNED' 'I"0 TH, E DEF:'F!R'THENT H :[ 'TH ./.. N '.:'~:0 DF:!'.~."E;
OF THE HEL_L '-"HF't E-FI ':N
EFFHER ¢;'¢:': :[F!Ei"IENT'.'5 i'"iFI'~.' ?':I.PF'L.."¢. ':PI::'-'£F::[C:F-ITZOh,¢:i::; !::IND r'"r"i?.J,:'Tf.;,llF.'l ....... ,,t D.,[.:i-~.: :~..t~,f....
Date"- Date Date
Inspector Inspector Inspector
Comments ~.~ Conditional Approval
Date Sewer Installed Permit No. Septic Tank Size
Holding Tank Size
Soils Rating Well To Absorption Area Well Log Received
Wetl to Tank
APPLICANT FILLS OUT LOWER HALF ONLY
Mailing Address & ~O
Address ~ ~~.
Realty Co. & Agent ~ ~, / . Phone
Type 9~sidence
~Single Family
g Multiple Family No. of Bedrooms
~ Other
Wate(~ty
~ Individual A~ACH WELL LOG, A well Icg is required for ail wells drilled since June
~ Community 1975. For wells drilled prior to that date, give well depth (attach Icg if
~ Public Utilit~ available.)
Sewage Disposal /~-
g Individual Year Individual Installed:
~ublic Utility When Connected to Public Utility:.
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.