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HomeMy WebLinkAboutFYFE BLK G LT 53 r CA Li Y- 1 41' 10 in r�speC Q- d 5z i n c- e-- n 0 C, r 0 J -P- c c r") 0- In n APPLIC-IT FILLS OUT UPPER HAL7 NLY Property Owner Ll Phone Mailing Address Zip Code sj Buyer Address Zip Code Lending Institution 'o Nc- iV- %' b" Phone Address ZipCode -lk03 =l1�66 '"(' Realty Co. & Agent% Phone Address J/ Zi p Code I/ A A Legal Description ' Street Location -/7 Type of Residence 0,'8jngle Family El Multiple Family No. of Bedrooms El Other Water Supply 0-Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. El Community For wells drilled prior to that date, give well depth (attach log if available). 0 Public Utility Sewer Disposal El I dividual Year Individual Installed: -Public Utility When Connected to Public Utility: El Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: APPROVED BEDROOMS IT CONDIT NSPFAPP:RO DISAPPROVED APPR L* CO! VA—L _�DITIONAL DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank 72-023 (3182) GREATER ANCHORAGE AR EA BOROUGH Department of'Environmental Quality ��3330 JAW "C Street Anchorage, 06ska-99503 Date Received j!, Time ..of Inspection Date of Inspection REQUEST FOR APPROVAL OF ­'INDIVIDUALSEWER .&,WATER -FACILITIES FOR Conv. 1. Approval requested by: First National Bank of Anchorage % Jackie Barrett Mailing Address: Post Office Box 4-2090' Phone: 274-1521 2. Property Owner: Douglas Dickinson Phone: 892-6398 Mailing Address: 2607 Arctic Boulevard 3. Legal Description: Lot 5 Block G Fyfe Subdivision 4. Location: 1828 East 57th Avenue 5. Type of facility to be inspected Single Family No. of bedrooms 3 6. Well Data: Individual A. Type Drilled B. Depth C. Construction — Approved D. Bacterial Analysis 7. Sewage Disposal System: Public Utility A. Installed C. Septic Tank: D. Seepage Pit: B. Installer 1. Size 2. Manufacturer 1. Absorption Area E. Disposal Field: Total length of lines 8. Distances: 2. Material A. Well to: Septic tank Absorption area Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ-034 (1/74), Satisfactory Sewer Lines Page ALASKA bUIROI MenTAL COnTROL S660S, InC. Engineerinq & Enuironmental Studies February 20, 1984 Department of Health & Environmental Protection 825 L Street Anchorage, Alaska 99501 Attn: Robbie Robinson Dear Robbie: On February 16, 1984, I inspected the well located on Lot 5, Block G, Fyfe Subdivision. At that time a water sample was taken and the results are attached. The house is connected to public sewer. The well has a sanitary seal and the wires are encased in conduit. The casing stands 1.5' above the ground surface. The ground is graded away from the well. Sincerely, Jim Green Geotechnical Engineer JG/caj Approved By: ,1 El '190adLOC a L tyFg •s `y ��" enei9aaeoo�ec9psv o9on o Ley C. Reid, Jr. t� c'�1J1/o�a No. 2251 E L°�cy 1200 West 33rd Auenue. Suite B • Anchoraqe. Alaska 99503 • (907) 561-5040 ��;a�,crezaet a,r U Y LO JAilUP4y (i71'C GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received March 31, 1976 C) Time of Inspection 1 30/p.m. Date of Inspection April 6, 1976 REQUEST FOR APPROVAL OF Tuesd�y — Les INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. 1. Approval requested by: First National Bank of Anchorage o Jackie k X nL±4- Mailing Address: Southcenter Branch PO Box 4-2090 2. Property Owner: Douglas Dickinson Mailing Address: 2607 Arctic Boulevard, Anchorage Phone: 279-4'a81 aIu/ -ISZJ Phone: 892-6398 3. Legal Description: Lot 5 Block G Fyfe Subdivision 4. Location: 1828 East 57th Avenue 5. Type of facility to be inspected Single Family No. of bedrooms 3 R1 7. Well Data: Individual A. Type iu B. Depth C. Construction D. Bacterial Analysis i Sewage Disposal System: a� �,+o,�� m A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area Sewer Lines , Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages y4 *ocxoa.cJ +r Y �A9jrF� JMNAa`J MUNICIPALITY OF ANCHORAGE GREATER ANCHORAGE AREA BOROUGH KEPT, OF HEV,LTH ca Department of Environmental Qual i ty ENVIRONMENTAL NC)T;CTION 3330 "C11 St., Anchorage, Alaska 99503 - 274-4561 l.A MAR ' 1976 INDIVIDUAL SSEWER &T FOR PWATTERLFACILITIES OF � YE D 1. Type of Inspection: CMRO VA FHA C0NU XXXXX 2. Property Owner: Douglas Dickinson Mailing Address: 2607 Artic Blvd., Anch. Day Phone 892-6398--Palmer 3. Name of Buyer: Nicholas & Patricia Migliaccio Mailing Address: 3917 Carleton Av.-Apt.3 Day Phone 272-1076 4. Name of Lending Institution: L 65 Nojibna) Bank 61 Ayi Y tee, Mailing Address: 3 0 3 Csk Phone 5. Name of Realtor or Agent: Ken Calhoon -- Dynamic Realty Mailing Address: Phone 279-7611 Name of Realtor William Schlegel --- Totem Realty, Inc. Mailing Address: 516 East Fireweed Lane Phone: 272-0571 6. Legal Description: Lot 5, Block G Fyfe Subdivision Location: 1828 East Fifthv-seventh (57th) Avenue 7. Type of Facility to be inspected: 8. Water Supply ----- Well Type of Supply: Public Utility d•Ywnw¢�t/ . w • • • 11 Individual If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System -----Septic System Type.of System: Public Utility Individual (on -site' If Individual, date of installation NOTE: Please mail results to the bank first,the other addresses second. EQ-037 (1/74) Page 2 of two pages - Rel. . for Approval of Individual ` & Water Facilities Legal Description Comments Approved Lot 5 Block G Fyfe Subdivision Disapproved Date ApprovaL4alid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) 4�4 .nCHOi AGf apfi G u � GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality �G�PfD „UW-' 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received February 6, 1976 Time of Inspection 10:00 a.m. Date of Inspection February 6, 1976 REQUEST FOR APPROVAL OF Les INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Totem Realty o Esther Bumgardner Mailing Address: 516 East Fireweed Lane 2. Property Owner: Mailing Address: 3. Legal Description: Lot 5 Block G F_yfe Subdivison 4. Location: 57th Avenue off of Petersburg Phone: Phone: 272-0571 5. Type of facility to be inspected No. of bedrooms 6. Well Data: A. Type B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Absorption area Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line , Sewer Lines , EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - RE ,st for Approval of Individual er & Water Facilities Legal Description Lot 5 Block G Pyfe Subdivision Comments Approved; Disapproved Date Appro°vV/ Valid for one year from date signed Greater Anchorage —Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 1 l.er L I I y Lrld L Wit. I III Uf'Illd L I UII UUH Ld I rleU III Lfl 1 S r'UUUeS L I Ur' dppr-uvd I LU Ue d Lrue dr1U accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74)