HomeMy WebLinkAboutSCHROEDER LT 416�cxK
MUNICIPALITY OF ANCHORA(;r tC36 �9 /'�.c)L i k12f.&)
s '1� DITARTf F OF HEA1,.T1-1 AND ENVIRONMF AL. PROTECTION
825 L Street, Anchorage, Alaska 99501
279--2511., ext. 224 or 225
� (�3 Data :Re,cei.v&I July 15, 19774
U
HL: 'Dirac It2: rui.me � _._1__...._ I3: Time
Date ..�%%_����»1.�_011� Ia.S Date ��.�Z! --.. Date
I:ns}' .-._I i1 `l --- lnsp _o.�l� ._e.__... Insp
REQUEST FOR APPROVAL OIC' INDIVJ;DUAL SEWL°;R AND WATER RAC-11,1`I.'LS
/�/I
1. Lending InsLitution Request: Spokane Mortgage Company
Mai_l_i_nq Addrec,s: 3201 C Street 99503 Phone: 277-0543
2. Property Owner:
Mal.i_ng Address:
Clyde C./Dorothy N. Combs
Will Privett, Areal Realtors
Phone:
694-9555
3. Legal. De:c.r.ipL:i.on: Lot 41 Schroeder Subdivision
I�
4. Single Family Residence: (x) Number. of Bedroo,ns. Three2���f°��
Multiple Family Residence: ( ) Number of Bedrooms:
Well. System: Individual. We11 (x) Cofiunu.ni_ty/Piabl:iic SyStom ( )
Permit #
Construction
Depth of Well --_--___-_ Well Lou on File ( )
}aci::erial Analysi-s
6, Sewage Di-sposa:l System: On--,iL-e System (x) Public Utility ( )
Permit If Installed Installer
Septic Tank Size Manufacturer
Absorption Area Soils Rate Materia_!.
7 . D i, stances: Well Lo Septic Tank to Absor1_>t:ion Area
Lo Sewej-- bine --- Nearest Lot line Absorption Area
to Nearest Lot :fine
Page 'Pwo
])epartaten'c of: He-alth and Environmunta.] Protection
Request for. Approval of Individual Sewer_ and Water ].Facilities
Legal. M.,scri.ption: Lot 41 Schroeder Subdivision
Ccornrae nt s -
/;Ff-adav:it: Attac:hc�d: f ) Let -Ler At achod: ( )
Ap})1 (Jv c'd _.ii��i�-GS.1_ ��E t.c^:
i_s�pt.�ro� eLl Date,:
llr. r. Lill I ,. Woi ksheei_
1
2
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALITY
Sewer and Water Section, Fourth Floor, 825 L Street, Anchorage, Alaska 99501
Attention: Laura Harrison
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
Type of Inspection: CMRO VA XX_
Property Owner: Clyde C. Combs & Dorothy N. Combs
Mailing Address: unknown
3. Name of Buyer: Bernard Campbell
G;e
5.
Mailing Address: Day Phone
Name of Lending Institution: SPOKANE MORTGAGE CO.
Mailing Address: 3201 "C" Stree,t Suite 250, Anch., Ak.Phone 277-0543
a
Name of Realtor or Agent: Area Realtors (Will Privett)
Mailing Address: Eagle River Phone 694-9555
6. Legal Description:
Location
Lot 41, Schroeder Subdivision, Eagle River, Alaska
Carla Street off Iris Way, X Eagle River, Alaska
7. Type of Facility to be inspected: Single Family No. Bdrms. 3
8. Water Supply
Type of Supply: Public Utility _ Individual XX
If Individual, number of dwellings presently served One (1)
If Individual, depth of well unknown
9. Sewage Disposal System
Type of System: Public Utility _ Individual (on-site) XX
If Individual, date of installation unknown
EQ -037 (1/74)