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HomeMy WebLinkAboutSCHROEDER LT 33APPLIC 'IT FILLS OUTUPPER SIAL` ONLY r Property Owner 4¢ '��... < < _r,:L;f Mailing Address ��. C� J- `-> i / (� r CJ t') ! ;1 �.- f (; I r` ,( /A ._ Zip Code J f _} / , 'r,,"_ ��\ . �1 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