HomeMy WebLinkAboutMARYLAND LT 8
Tom Fink,
Mayor
Municipality oW Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
January 8, 1991
Paul F. Nelson
6740 Jollipan Court
Anchorage, Alaska 99516
Subject: Lot 8 Maryland Subdivision
Permit #900184, PID #015-082-31
The subject permit, issued by this office for a single family
well and/or on-site wastewater system has expired as of December
31, 1990.
A new permit must be obtained from this office for a well and/or
on-site wastewater system Dot installed by the expiration date.
If you have drilled the well, a well log needs to be sent to
this office for documentation of the installation and to close
the permit.
If a private engineer inspected the installation of the on=site
wastewater system, the original.as-built inspection report
(three-part form) must be sent to. this office for review,
approval and documentation. All inspection.reports must be
submitted within 30 days of construction completion.
When applying for a new permit, the fees are: $90.00 for an
on-site wastewater permit; $50.00 for a well permit; $140.00 for
a combined on-site wastewater and well permit.
If you have any questions
Jo n Smith, P~E;' V
, please call this office at 343-4744.
JW/ljm:200
enc: Copy of Permit
"Kids Are Our Future"
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WATER WELL RECORD
STATE OF ALASKA
OEPARTMENT OF NATURAL RESOURES
Division of Geological & Geophysical Surveys
O3AI333 i o,i,ling Pe,ml, Ne.
A.D.L. No.
LOCATION OF WELL (Please complete either la~ lb or Ic.J ..........
ia.Il. .... gh Subdivision Lot Block I~.I V4qtrs. Section No. TownshiPNC~ Re,ge E[] Meridian
~c'][OISTANCE~~AND DI~ECTION~FROM ROAD~INTERSECTIONS~ 3. OWNER OF WELL*/~/' '
Feet Below 4. WELL DEPTH; (f{nel) J5. DATE OF COMPLETION
~ ~r ~ ~ Set be,ween
/ / Backfilling Gravel pock
/ /~/ A~ //(~' ~' ~0/~ 0 Above or ~ Below lend surface D.te
~ff ~~,,~ A~ ~0~1 /~e/ II.PUMPING LEVEL below land surface and YIELD
/ / Y · ft. after hr~. pumping g.p.m.
~ ,~,~J't Length of Drop Pipe ~ ,,. capacHy ~g.p.m.
~ Subm. 0 Jet 0 Can,rjr,col 00,her