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5. LEGAL DESCRIPTION ll
DATE_ RECEIVED
INSPECTION APPOINTMENTS
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TIME
TIME
TIME:
❑ One ❑ Four ❑ Other__
❑ Two ❑ Five
DATE
DATE
DATE
INSPECTOR
INSPECTOR
INSPECTOR 11
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONEPT. OF HEALTH &
825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTECTION
•
ENVIRONMENTAL SANITATION DIVISION A P R 3 1981
Telephone 264-4720
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SER 4i l:fidWO
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not he processed. Please allow ten (10) days for processing.
1. PROPERTYOWNER PHONE
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
MAILING ADDRESS
PROPERTY RESIDENT (If different from ove) PHONE
2. BUYER
Gnhl 12-�a�n�r��
PHONE
22
MAILING ADDRESS
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3. LEND I G 0 ' INSTITUTION PHONE
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MAILING ADDRESS
4. REALTOR/AGENT
PHONE
MAILING ADDRESS
5. LEGAL DESCRIPTION ll
t
ode
STREET LOCATION
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6. TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
SINGLE FAMILY
❑ One ❑ Four ❑ Other__
❑ Two ❑ Five
❑ MULTIPLE FAMILY
[ZI --Three ❑ Six
7. WATE SUPP
NYDIVIDUAL*
* ATTACH WELL LOG. A well log is required for all wells drilled
❑ COMMUNITY
since June 1975. For wells drilled prior ,lo that ate, gi a well
❑ PUBLIC UTILITY
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
NEAR !NEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)-�.\7J,.,'.-:.s-' V 1�/�ti�ji(- (1'0ye)v-' I ,l�
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
OF RESIDENCE
NUMBER OF 13EDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
rl.TYPE
SINGLE FAMILY
MULTIPLE FAMILY
❑ TWO ❑ FOUR ❑ SIX
2. WATER SUPPLY
PERMIT NUMBER —
❑ INDIVIDUAL
DEPTH OF WELL -
❑ COMMUNITY
❑ PUBLIC UTILITY
DATE DRILLED --
Connection Verified
LOG RECEIVED -
PERMIT NUMBER--
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
❑PUBLIC UTILITY
DATE INSTALLED
Connection Verified
--_
❑Septic Tank or ❑Holding Tank
INSTALLER --
Size: If Tank is homemade
give dimensions:
SOILS RATING -
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTI AREA
MATERIAL
ELL T0:
Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
nearest Lot Line
-
6. COMMENTS
--- --��_
APPROVED FOR
BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE
Li «_�All
BY
72-010 (Rev. 6/79)
ngrlrp
's
Glyn Myers
Box 33 Tris Way
Fele River, Alaska 99577
Dear Mr. Myers,
DAVID A. SLEN KAMP
MECHANICAL ENGINEER
694-9055
April 8, 1951
Reference: Lot 57; Schroeder Subdivision 'Jest
ROBERT A. SHAFER
CIVIL ENGINEER
694-2979
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 gal -Ions. The seepane
pit was tested by charging thb,.sy'stem with 1000 gal-lons of water and
after a 24 hour period all the water which had been added to the
crib had percdlated. out.
It can be concluded from this test that the sewage system (septic
tank and seepane pit) is currently functioning adequately for the
three bedroom residence located on this property.
If we may be of further assistance, please do not hesitate to call.
Sincerely,
R BERT A. S'HAPI+7R 1'. E.
I AS/ss
I.
cc: Alaska Teamsters federal Credit Union
Municinalit'v of Anchorane
Department of Health and Enviromental Protection
SRB196X EAGLE RIVER, ALASKA
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�9FPF0 lAn'JAkY �
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 2.74-4561
INDIVI
Date Received Ju
I
28, 1976
r Time of Inspection Q_
1_ A�Q��K{'}} Date of Inspection
FORD APPROVAL OF %Lpp
SEWER & WATER FACILITIES
FOR
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank 16) Absorption area Sewer Lines
Nearest lot line , Other contamination
B. Foundation to septic tank
C. Absorption area to nearest lot line
, Absorption area
EQ -034 (1/74) Page 1 of two pages
Conv.
leo ,
1.
Approval 'requested by: Alaska
National Bank of the North o Jean Ncf'gc
Mailing Address: 3901 Seward
Highway Phone: 279-4585
2.
Property Owner: Charles S. &
Linda Hamilton Phone:
Mailing Address:
3.
Legal Description: Lot 57 Schroeder Subdivision
4.
Location: Corner of Iris Way
& Davis Street - Eagle River
5.
Type of facility to be inspected
Single Family No, of bedrooms 3
6.
Well Data: Individual
A. Type
B. Depth
C. Construction
D. Bacterial Analysis
7.
Sewage Disposal System: On-site
system.
A. Installed v
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 16) Absorption area Sewer Lines
Nearest lot line , Other contamination
B. Foundation to septic tank
C. Absorption area to nearest lot line
, Absorption area
EQ -034 (1/74) Page 1 of two pages
Page 2 of two pages - Req ;t for Approval of Individual S x & Water Facilities
Legal Description Lot 57 Schroeder Subdixision
Approved-rs.anx & V Disapproved Date
Approval,Valid 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 ana
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
EQ -034 (1/74)
Da to
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street, Anchorage, Alaska 99503 — 274-4561
REQUEST FOR APPROVAL OF i
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection:
CMRO VA _
FHA CONV XX _
2. Property Owner: _
HAMILT.� Charles S. and Linda
Mailing Address:
Day Phone
3. Name of Buyer:
MYERS,
Glyn 0. and Patricia A.
Mailing Address:
_ Box
92 Davis Street Eagle River, 26aY Phone 333-9495
—
4. Name of Lending Institution:
Alaska National Bank University
Center Branch —
Mailing Address:
3901
Seward Highway Anchorage,
Ak Phone 279-4585
5. Name of Realtor or Agent:
Tom Abbott T.H. Abbott &
Associates —
Mailing Address:
4791
Business Park Blvd. Suite
#4 Phone 276-7894
Anchorage,
Alaska
6. Legal Description: Lot 57, Schroder Subdivision Eagle River, Alaska 99577
Location: _ Corner of Iris Way and Davis Street, Eag:Le River, Alaska
7. Type of Facility to be inspected: Single Family Residence No. Bdrms. 3 —
8. Water Supply
Type of Supply: Public Utility _ Individual XX
If Individual, number of dwellings presently served 1
If Individual, depth of well Unknown —
9. Sewage Disposal Systern
Type of System: Public Utility _ Individual (on-site) XX —
If Individual, date of installation Unknown
EQ -037 f1/74)
lam
ofthe north UNIVERSITY CENTER OFFICE SUITE 103901 SEWARD HWY ANCHORAGE. ALASKA 99503190]12]94585
July 27, 1976
Municipality of Anchorage
Department of Environmental Quality
3330 "C" Street
Anchorage, Alaska 99503
Re: Lot 57, Schroder Subdivision
NHN Iris Way, Eagle River, Alaska 99577
Dear Sir:
We would greatly appreciate it if you would expedite your on-site
sewer and water inspection of the above referenced property. We
are in need of an approval within the very near future.
Thank you for your cooperation.
If you have any questions, please do not hesitate to call.
Sincerely,
can Nogg
Loan Processor
Alaska National Bank
Enclosure
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