HomeMy WebLinkAboutROBINSON - FABISZEWSKI LT 96A
P.O. BL.X 196650
ANCHORAGE, ALASKA 99519-6650
(907) 343-4200
r~R~ Tom Fink
MAYOR
DEPARTMENT OF HEALTH & HUMAN SERVICES
January 12, 1988
Earl A. Robinson
14510 Elmore
Anchorage, Alaska
99516
T12N R3W Section
Subject: Permit #870199, Ta~9 018-261-8~3~
A permit issued by this Department o~f~-f--an individual well
and/or on-site sewer system has expired as of December 31,
1987.
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 (three-part
form) must be sent to this office for review and approval, and
for documentation.
Effective January 1, 1988, a new fee schedule is in effect.
When re-applying for a new permit, the new fees are; $90.00 for
an on-site sewer permit; $50.00 for a well permit; $140.00 for
a combined sewer and well permit.
If there are any further questions, please call this office at
343-4744.
Program Manager
On-site Services
RWR/ljw
enc: Copy of Permit
:%pa~t~ent of H~a]th &n,.~, .......Services
..................... S&S ......
NSiO ....... ~'
~.Li'iuKE
~,,,.q .... .- ~:' VVb ~_6
Subdivision: ~{/A Lc, t= N/'~ ~io,:k'_-
oegt:or;, ~... Jm~nsnlp: Ra:ge: ..-.-.,
LUi '-)A
~,,; A (sq, f:'-., or acres)
......... -- ~ ar.'.d "-" ..... '
with the pequ:p~:ents ior u,-=:~ se~ers ~ ~ ~.~t
i~r~ ~:tn"' th:~ues:un ~ '- r, iter-ia_, of this oer~::,"
-
s:,st~..: on this o:
.................
SCALE
WELL LOG
DON F~BISZEWSKI
EARL A. ROBINSON
RUTH ROBINSON
LOT 96' SECTION 33
12 NORTH RANGE RANGE
3 WEST SEWARD MERIDIAN
Date Drilled: AUGUST 1,1987
Static Water Level 18 feet
Draw Down N/A feet
Gallons Per Minute 'lo0
Total Feet of Casi.ng"~'''
Type Material Drilled:
0 feet to 18 FT.' GRAVEL
18 FT to .37 FT CEME .....
37 FT, to 56 Fro_ cT.~aN GRAVEL W/H2O
to
to
tO
tO
to
.~..U~I~iPALITY OF ANCHOP, AGE.
DEPT. OF HEALTH &
,~,~.~,... qO .~ !~,.,~ i:: t,,j T A L PROTECTION
RECEIVED
HEFTY DRILLING
3540 AKULA DRIVE
ANCHORAGE, AK 99516
(907) 345-0593