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GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received April 30, 1976
2Q � Time of Inspection � �'�� loj2j
,,4 -lu OMS p Date of Inspection_�)I„
REQUEST FOR APPROVAL OF �2Qc�•
f� ( 0 INDIVIDUAL SEWER & WATER FACILITIES
�1 FOR
1. Approval requested by: Area Realtor Inc_
Mailing,Address: Box 249 Eagle River
2. Property Owner: James Merchant
Mailing Address: out of State
3. Legal Description: _Lot 21 Schroeder
4. Location: Marcus Street
5. Type of facility to be inspected Single Family
6. Well Data: Individual — serving one
Myrna E. Johnston
Phone: 694--9555
Phone:
No. of bedrooms 4
A.
Type
B.
Depth
47'
C.
Construction
D.
Bacterial
Analysis
7. Sewage Disposal System: On—ste system
A. Installed 1972 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
Page 2 of two pages -• Re !st for Approval of Individual er & Water Facilities
Legal Description
Comments
Lot 21 Schrodder Subdivision
Hppr•ovai .uai iu Tor ane year Tr•oni adue signea
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 ) 7 . � � '' — Date < /a
/ _fez-�61i1/
EQ -034 (1/74)����cc�i!'�c��
4-28-76
GREATER r;!`iCH0RAGE ARt:, 00P.0UGH
Department of Environmel,ta1 Quality
333P "C" St -5 Anchorage, Alaska 99503 - 27n-�1!� 3IPALI7Y OF ANCHORAGE
PFlRTME-1 OF HEALTH A
ENVIRONMENTAL PROTECTION
REQUEST FOR APPROVAL OFT APR 3 01976
INDIVIDUAL SEXIER & l,JJATER FACILITES
RECEIVED
1. Type of Inspection: CMRO VA FlIA CONV
2. Property Owner: Mr. and Mrs James Merchant ,
Mailing Address: out of State Day Phone
3. dame of Buyer: N/A
Hailing Address: Day Phone
4.. Name of Lending Institution: N/A
Mailing Address: Phone
5. Name of Realtor or Agent: Myrna E. Johnston
AREA, Inc., Realtors -'
P%lailing Address: Box 249, Eagle River, AK Phone 694-9555
99577
6. Legal Description:' Schroeder Lot 21
Location: Marcus Street (, lit Entr HQ e with double car
garage Jocated 3/4 down Street on left hand sided Agent can accompany.
7. Type of Facility to be inspected: single Family No. Bdrms. 4
8. !dater Supply
Type of Supply: Public Utility Individual xx
If Individual, number of dwellings. presently served 1
If Individual, depth of v,all 47 Feet
9. Sewage Disposal -System
Type.of System: Public Utility Individual (on-site) xx
if Individual, date of installation 1972
Home is Vacant-- Call Agent (Myrna Johnston) 694-9555 for Inspection
S _