HomeMy WebLinkAboutSCHROEDER LT 33APPLIC 'IT FILLS OUTUPPER SIAL` ONLY
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Property Owner 4¢ '��... < < _r,:L;f
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Buyer
Date
Address Zip Code - -
Lending Institution f-� L ;� ��-_ �`� �) iJ �-' f .-c..�i �-� �- �� r� 7�-��_
Phone
Address A Zip Code
Inspector
Realty Co. & Agent i n -.. <1 (C Q
Phone
Address�Z-\ ' (._ N 0Z. L-, (P 1 ,J F /� —Zip Code --
Inspector
Legal Description
Street Location /U (AE -16 `i1�� IU
Type of Residence
C�Single Family }
t] `Multiple Bedrooms�j
Family No. of
❑ Other
Water Supply
_
i
Individual I
Community ' {-
ATTACH WELL LOG. A well log is required for all wells drilled since June 1975.
For wells drilled prior to that dale, give well depth (attach log if available).
Q-
( ) CONDITIONAL APPROVAL'
❑ Publlc Utility
DATE
Sewer
Sewer Disposal
Individual Year Individual Installed:IN
Public Utility When Connected to Public Utility:
❑ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
X1/1 & l/ (`P o P/r)� 7.
Time
Time
Time
rime
Date
Date
Date
Date
Inspector
Inspector
Inspector
Inspector
Field Notes: ^�
( j APPROVED BEDROOMS 'CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL'
DATE
BY: _
__[
Soils Rating
Date Sewer Installed
Well To Absorption Area
Wcll Log Received
Well to Tank
Septic Tank Size
72023 131321
Time
APPLIC NT FILLS
OUT UPPER HAL ONLY
ProperlyUwner
fIll
Phone
Mailing Address
Zip Cod
Buyer
Date
Address
Zip Code__
Lending Institution
Phone
Address
Zip Code
Inspector
Realty Co. & Agent
Inspector
Phone
Address
Zip Code
a
Legal Description
4" 11r
Street Location
j U 1- 1 8 1983
Type of Residence
"Municipality c.1 traja"
"Dept.
Ed,,tIngle Family
of &
El Multiple Family
No. of Bedrooms—
El Other
*CONDITIONS OF APPROVAL
DISAPPROVED
Water Supply
CONDi E-IONAL APPROVAL'
DATE" q, —8
D,11—ndividual
ATTACH WELL LOG. A well log is required for all wells drilled Since June 1975.
D— Community
i
For wells drilled prior to that date, give well depth (attach log if available).
E] Public Utility
Well To Absorption Area
Sewer Disposal
EJ,Individual
Well Log Received
Year Individual Installed:
F] Public Utility
When Connected to Public Utility:
El Holding Tank
se plic Tank Size
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:
a
j U 1- 1 8 1983
ti
"Municipality c.1 traja"
"Dept.
of &
APPROVED BEDROOMS
*CONDITIONS OF APPROVAL
DISAPPROVED
CONDi E-IONAL APPROVAL'
DATE" q, —8
--Ij[9 --I
BY:
Soils Im,
Ma
ate Sewer Installed
Well To Absorption Area
Well Log Received
Well to Tank
se plic Tank Size
72 023 (3182)
Re/Max of Eagle River, Inc.
ATTENTION: John Parker
P.O. Box 848
Eagle River, Alaska 99577
Dear John,
EXCAVATION
WORK
Reference: Lot 33; Schroeder Subdivision
ROBERT A. SHAFER
CIVIL ENGINEER
694-2979
October 12, 1983
MUNICIPALITY OF ANCHORAGE
DEPT. OF H`P:LT'tl f.
ENVIRON?A' NIAU PROTECTION
kCEI\1E 01
A sewer system adequacy test was performed on the system located on the
referenced property, as you requested. The septic tank was pumped and
verified to have a capacity of 1000 gallons. The seepage pit was
charged with 1000 gallons of fresh water and after a period of 24 hours
all of the water which had been added to the crib had percolated away.
It can be concluded from this test that the waste water disposal system
serving the three bedroom residence located on this property is
currently functioning adequately. However, the system cannot be
guaranteed against subsequent failure.
If we may be of further service please do not hesitate to contact us.
cc: Municipality of Anchorage
Department of Health and Environmental Protection
SRB 196X EAGLE RIVER, ALASKA