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HomeMy WebLinkAboutBLACK Block N/A Lot 3 & 4 un cip ity of n hora e POt...r'l 6-650 ANCHORAGE, ALASKA 99502~0650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Permit ~: 840893 January 31, 1985 TO: Permit Applicant SUBJECT: Lots 3, 4 Black Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1984. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report and the yellow copy must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Keith E. Bandt, Supe~fvisor Environmental Engineering Program KEB/ljw enc: Copy of Permit SWP/057 t'" F,.OTE:.C, 1- DEF:'(,~RTME]q]' [)1:'" F'IF'i;£-q_TI'~ AND ENVIROIqI~IEIq'T(.~t- -'" "'" ION ~"~25 I... SI"IRIEE:.'T, AI',ICHOFRF, IGEF... ¢:,M< 9950:L ,~. ~.:. 4.- 4. 7 ,~: (.) F:'E:IRM I 'T' NO: DA:I"I,:,:: :t: SSUE:.:D E~./.t-C,)I.~9:::!; HOI...D :1: I'-,IG TANI< 10 / :.Y-?,/84 At'""F:'I.,.. I CANT: A D D IR I,:Z S S: C[]Iq'T'AC'T PHONE L.I.:.':G(.~L I:)E:SCFR I P I,...CIT S I Z E: J [)HN &: I<Er. lqDALL. 'T'I"IE]MP~S 2321 E:, Zl. 9'T'H C'T'. (-:fl~IC. HOF(AGE ~, Al',:: 9950:3 ',56:]F,-'7 E:>75 L LOT: 4 ¢.~ BL(]CI< :: l',h:~ I certify that: 1,, I am familiar w:i.'Ll"~ 'Lh6..~ r'eqLtiremenC'i;~ fc.',r' ori-'~J.t.e: :~.~ewer)s; and wells; a.F.; fort. h by 't:.he Idunic::Lpa]..i'Ly of (-~n(::hc.~r¢.~ge (MO{-.~) a. nd i:.he State c:)F (~]..:':':t'..~{;k~:.t, 2,I ~4i!.1. :i.r~srtt. a].l 'Lhe '...=wsrt'.em in ac:cor'clarice w:L+..l"~ a].l I¥10(~ ,.':od. er..~ and a. nd in- c:ompl iance v~j.'l:h 'Lhe des~i.gn c:r'i'Ler':i.a, of 't:h:i.:s perm:L't'.,, ::5,, :[ v~:i.].l adhere i:.o ali. I'1(](:~ and St.a'Le ,.":~f (..~la~.sl<&~ r'eqt..tireme2r'H:.'~ fen' t. he !~ie'L bac:k dis~'t'.aru::es~ Fpom a.u"~y ex i;i~,t :Lng ~e].].:, ~,.~a.s!~tew,'.'.vLer' di:spo.~;~':t]. ~.~y~'t:.erf~ or' pLd:].'.i.,:: ~.~;ev~erage :syt=.rt:.em on 'Lh:i.s~ or any adj,':'~c:er~'t:, of ne:~.':trby icH:..,