HomeMy WebLinkAboutTract 03A
Rick Mystrom,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 '%" Street
P.O, Box 196650 Anchorage, Alaska 99519-6650
343-4744
July 5, 1995
Phyllis Janke
PO Box 770567
Eagle River, Alaska
99577 0567
Subject: Tract 3A Highland Hills Subdivision ~4
Permit #SW940223, PID #050-382-59
The subject permit, issued July 5, 1994 by this office for a
single family well and/or on-site wastewater system, has
expired as of July 5, 1995.
A new permit must be obtained from this office for a well
and/or on-site wastewater system NOT installed by the
expiration date.
If you have drilled the well, a well log must be sent to
this office for documentation of the installation and to
close the permit.
If a licensed Professional Engineer has inspected the
installation of-the on-site wastewater system, the original
as-built inspection report must be sent to this office for
review, approval and documentation. All inspectJ, on reports
must be submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $320.00 for an
on-site wastewater permit; $120.00 for a well permit and
$440.00 for a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
Si/~ere ly,
'"
P~ogram Manager
On-site Services
enc:
Copy of Permit
cc: S & S Engineering
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW940223
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:JANKE PHYLLIS
OWNER ADDRESS:P.O. BOX 770567
EAGLE RIVER, AK 99577
DATE ]iSSUED: 7/05/94
EXPIRATION DATE: 7/05/95
PARCEL ID:05038259
LEGAL DESCRIPTION: HIGHLAND HILLS ~4 TR 3A
LOT SIZE: 999 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80) .
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 (24 HOURS)
4. PROM OCTOBER 13 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY: ~ ~_0 DATE:
ISSUED BY: ~~ ,~~ ~/~. ~ _. . DATE:
ROBERT SHAFER, P.E.
ROGER SHAFER, P.E.
June 28, 1994
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER &WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 'L' Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
REFERENCE: Highland Hills Subdivision; Tract 3A
AKA NE¼, NE¼, Sec. 29, T14N, R1W
Request: you issue a permit to drill a well to serve the three bedroom
house on the referenced property.
There are no .points of contamination within the proposed well radius
which can be seen on the attached site plan.
A septic system was installed in 1983 under the legal Section 29, NE¼,
NE¼, T14W, R1W. An unnumbered permit was issued in Eagle River,
however the well has never been drilled.
If you have any questions,
review, please contact us.
Sin~l~~
/LSU/jk
/
or require additional information for your
17034 NORTH EAGLE RIVER LOOP , SUITE 204 , EAGLE RIVER, ALASKA99577
50'
SCALE
WELL .'SITE PI.AN
/.~,
/ / ,.
( erlifie Drilling
DOC Co, dba
SULLIVAN WATER WELLS
OWNER OF LAND 'q'J/':~t,O
ADDRESS
LEGAL DESCRIPTION
DATE- Started
PERMIT NUMBER
P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688.2759
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DRILLER'S NAME