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HomeMy WebLinkAboutCANDLELIGHT LT 4~ ~ o51 I'?_. OF ANCHORAGE MUNICIPALITY ~'~ JAN ~ lgTg DRILLING COMPANY RECeiVeD BOX 97, [A~L[ RIVER, ALASKA 99577 · OWNER OF LAND ADDRESS /9o LEGAL DESCRIPTION Z 4 ~"'5~"'°'~ ~- ~' d '"~'t'~7''' PEILMITNUMBER "7~'0 97 ~' DEPTll or WELL ,~O STATIC LEVEL OF WATER FT. /O90 /' DRAW DOWN FT. GALS..ER DR /'~" KIND OF CASING ~ '~0~ KIND OF FORMATION: From O Ft. to / Ft OO~__~d,//d~"~,d From Ft. to--.Ft. From I ~ Fi. to ~f Ft. ~g~ g/ ~/~< From FI. to Ft. Fromm, Ft. to Ft. From Ft. Io Ft. Fromm. Ft. to Ft, From ~Ft. to Ft. Fmm~.Ft, to Ft. From Ft. to Ft. From Ft. to Ft. From ~ Ft. to Ft From~.Ft. to Ft._ From ~ Ft. to Ft. From Ft. to~.Ft From Ft. lo Ft. From Ft. lo FI From Ft, to From Ft. to Ft,~ From Ft. to Ft. From Ft. Io Ft, Fromm. Ft. to Ft. From Ft, Io Ft._ From Ft. to__--FI MISCL INFORMATION: 7-0 ,5"~o r.C PERMIT NO. ( NUNI¢I! ~LI.TV OF F~r~CHf ',~F~GE DEPRRT~lENT OF HEALTH ArID ENVIRONMENTAL PROTECTION 825 "L' STREET~ RNCHORRGE, AK. 99501 264-4?20 ~JELL PERM I T 780979 > APPLICANT LOCATION LEGAL LEE SULLIVRN BOX 197 EAGLE RIVER 99577 694 2588 WEST SIDE OLD GLENN HWRY PETERS CK L 4 CANDLELIGHT LOT SIZE i2S00 SQURRE FEET MINIMUM DISTRNCE BETWEEN A WELL AND AHY ON-SITE SEWRGE 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 WITHIN 30 DAYS OF THE WELL COMPLETION, OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. I CERTIFY THAT l: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WI_LL~NSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. -- I ~°P[ICRNT LEE SULLIVAN , V3. 2 December 29, 1978 L~e Sullivan ~ox 197 Eagle River, Alaska 99577 S~b~ect: f780977 j,~780978 780979 Lot 5 ~lock 4A Eagle River }li~Ieights Lot 12 :'hyatt Subdivision Lot 4 Candlelight Sub~iv£sion A permit issued by this department for well and/or sewer system has expired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have ~rilled the well, a well log shoul~ be sent to this department to document the £nstallation date. If there aro any further questionsw please contact this office at 264-4720. Sincerely, Les ~l. ~uchholzw Senior Environmental Specialist u /lJw. onc: copy of permit