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HomeMy WebLinkAboutSCHROEDER EAST BLK 4 LT 10Schroeder �I Sirs �Sb- bc"P2-2Z-000 Lbt MUNICIPALITY OF ANCHOR^', DEPAR T OF HEALTH AND ENVIRO W +L PROTECTION 825 L Street, Anchoraap-. Alaska 99501 264-4720 Date Received: January 30, 1978 #kl: Time 1: 0 M. _ #2: Time JQ (fin om #3: Time _ IL),Cr)//q� yj Date 2-1 8 Wednesday Date �`1RL1 Date Insp Pr tt Insp�1� Insp.c_uvLD.,� REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES M-04 46-A 1. Lending Institution Request: Alaska National Bank of the North Mailing Address: 3301 C Street, Calais II Phone: 278-4581 2. Property Owner: George/Susan Malekos Phone: 694-2529 Mailing Address: % Jo Davis/Laurie Long, 276-7777 3. Legal Description: Lot 10 Block 4 Schroeder East Subdivision - 4: Single Family Residence: (x) Number of Bedrooms: _ Three Multiple Family Residence: ( ) Number of Bedrooms: 5. Well System: Individual Well (x) Community/Public System ( ) Permit # Depth of Well _ Well Log on File ( ) Construction _ Bacterial Analysis T.\ 6. Sewage Disposal System: On-site System (K4 Public Utility ( ) Permit # �Installed ^� Installer Septic Tank Size _ Manufacturer ^_ Absorption Area _ Soils Rate Material 7. Distances: Well to Septic Tank to Sewer Line to Nearest Lot Line Nearest Lot line to Absorption Area Absorption Area Page Two Department of Health and Environmental Protection Request for. Approval of Individual Sewer and Water facilities Legal Description: Lot: 10.Block 4 Schroeder EastSubdivision Comments: 6--11.49 Affadavit Attached:,( ) Letter Attached:. ( ) Approved:_Z- Date: - - t Disapproved: Date: _ Department Worksheet: - I E4E-Oa6-O'1LG[ OdD �IUV'i 'IUf�plIT11IVA)n UOJ lot' TV ]ON' nsni ora na t W1o_ W-1 'a "-s r raves J0,140 005) -�aamnnul; BVIIInoa — _-.,:... r�aa lnbei mac. oalx©l 3(1 ... - }_ ) c=1 - MAMAS 8G0V 0.{_.21](\1130_ I -_..- _]3S5]tl00V B05 �luo lassai PPe of FianilaP 11!M J58 SiOlAL35 J5E Paaan�lOP am4aa PuL, aleP 'uioyn of smoNS i Adl3aail P,.y ..... dluo oossoippe of dlanilop (I11M a OUnum Jal Paaan!lop 010p 1100 Ioall,- 01 Slnoll$ I 11.0{ S101AU39 'I0110I1 I0Z' c S33.1 1010111aaV f„ 3a00 alt oNv ]1v]s 'nd (7) --- -- ON (INV 133111.8 (A) - 31Va UO- AdMlsod (� 1101 IA � �?� MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 1. Type of Inspection 2. Property Owner: Mailing Address REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES CMRO VA Y -q d FHA_ CONV—X-- Day Phone: 3. Name of Buyer: �, J YYLI �ir rJcevy' K � Mailing Address: `7 R `{ B q G, 16 Day Phone:— :313--� � -tK, �l l �� n l �P It k p —1 dt IYO 4. Name of Lending Institution: lC � � � � ('lai^a0 i/fir .S�G�^LIP Mailing Address:—I o �^-� �` YLC-Px-61_. Phone:_---- 5. Name of ealtor or Agent:_j_'6 771_7 Mailing Address:—Phone:— 76?J/ 6. Legal Description:� t U y 1L -y—o e_ �= es Location: �5-( /Vlit e_ 7. Type of Facility to be Inspected: No WLe, No. Bdrms. 25 8. Water Supply x Type of Supply: Public Utility Individual___._— If Individual, number of dwellings resently served If Individual, depth of well — 9. Sewage Disposal System Type of System: Public Utility Individual (on-site). If Individual, date of installation — 72-003(3/76) 1. 2. 3. 4. 5. GREATER ANCHORAGE AREA BQROUGH Department of Environmental Quality 3500 Tudor. Road, Anchorage, Alaska 99507 279-8686 Date Reco9.ved _�cK x ZZ � Time of Inspection Date of Inspection Ju X20, 1973 REQUEST FOR. APPROVAL OF INDIVIDUAI, SEWER & WATER FACILITIES FOR MM Approval Requested By: 2 Uar k r -1r s Address; Pouch 0i17,nA ciorq-e.—1a >2"Phone:_ZU-10'�,q Property Owner: Perreault, Allen R. -Phone c Legal Descri.ption:_ Lnt 1{),�ij1oc� k �l, Schroeder East Addition ��me Location: Santa Maria Drive Type of Facility to be Inspected:_Siq�lle I"imi 3 bedroom Numher of 3edrooms: 3 6. Well Data: A. Type Drilled _ B. Depth C. Construction satisfactory D. Bacterial Analysis Satis'Factory 7. Sewage Disposal System: A. Installed- 11/22/72 8. Installer C. Septic Tank: l., Size 1.000 ga12. Manufacturer Stack Steel D. Seepage Pit: I. Size 15' X 44'_ 2. Material_ L.p�crjb.�q N. Di poral. Field: Total Length of Lines-. 8. Distances: A. '°Fell To: Septic Tank 35' Absorption Area 110' —, Sewer Lines Nearest Lot lines , Other Contamination_ B, Foundation to Septic Tank 20' Y", Absorption Areae', C. Absorption Area to Nearest Lot Tine— 20' Request for Approval Mage Two 9. Comments: Anrnrov Individual Sewer. & Water Facili' �s Disapproved Date_ Jul 20 1973 Approval Valid for One Year From Date Signed ter Anchorage Area Borough, Department of Environmental Quality DTAGRAM OF SYSTEM. 1 cort.ifv that the information contained in this request for approval to be a true and accurate representation of the subiect sewer and water facilities located at: S i g P d� a te--,.,a..—,