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HomeMy WebLinkAboutSEACLIFF BLK 1 LT 4h LVJ -- �( '�2[ 5. LEGAL DESCRIPTION MUNIC i MUNICIPALITY OF ANCHORAGE D[PT. G ',. DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEcT%NRON;,/,FVTI-.'_ •,'•.-- -CTION 825 L Street - Anchorage, Alaska 99501 nn ENVIRONMENTAL ENGINEERING DIVISION 6. TYPE OF RESIDENCE Telephone 264-4720 RECEIVED ECjVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER - PHONE John & L. Jolene Hoelter 243-3277 MAILING ADDRESS ❑ COMMUNITY 9231 Shorecrest Dr. 99502 IM PUBLIC UTI LITY PROPERTY RESIDENT (If different from above) 8. SEWAGE DISPOSAL SYSTEM PHONE INDIVIDUAL/ON-SITE** give installation date 2. BUYER ❑ PUBLIC UTILITY PHONE Robbie W. & Lillian E. Mattson 349-4806 MAILING ADDRESS 7003 Stanley Dr. 99502 3. LENDING INSTITUTION PHONE Alaska Mutual Savings Bank 274-5722 MAILING ADDRESS P.O. B Anchorage. Ak. 99508 ATTN: Carmen Garri 4. REALTOR/AGENT PHONE Dahe Xaviere Cook Inlet 276-1222 MAILING ADDRESS 619 E. 5th Ave. Anchorage, Alaska 5. LEGAL DESCRIPTION L 4, Blk. 1 Seacliff Sub. STREET LOCATION 9231 Shorecrest Dr. 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS L] SINGLE FAMILY ❑ One L] Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY ❑ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well IM PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM **If individual/on-site, INDIVIDUAL/ON-SITE** give installation date If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) February 26, 1979 THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ SINGLE FAMILY ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER a ❑ MULTIPLE FAMILY ❑ TWO ❑ FOUR ❑ SIX e PERMIT NUMBER - 2. WATER SUPPLY ❑ INDIVIDUAL DEPTH OF WELL ❑ COMMUNITY DATE DRILLED ❑ PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM I PERMIT NUMBER ❑INDIVIDUAL/ON -SITE I DATE INSTALLED ❑PUBLIC UTILITY Connection Verified — INSTALLER ❑Septic Tank or ❑ Holding Tank Size: _ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS ;. I O 4.1 (f i.c. �rq' �t�g�f-t�B:��ti (�}lk- 7. tt.(�� ..1, ".\ 1•h t.. § <..�C. g��C- ♦ 1`�"tr��� �.h 4_r A 1A_1'-. APPROVED FOR BEDROOMS I ]","CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED f� DATE BY (Title) � r LEGAL DESCRIPTION 72-010 (Rev. 3/78) April 8, 1969 Mr. T. C. Burrell 2436 Lee Road Anchorage, Alaska 99504 SUBJECT: Sewer and Water Facilities - Lot 4, Block 1, Seacliff Subdivision Dear Mr. Burrell: The subject facilities were inspected on April 8, 1969 and are hereby approved. The sewer system consists of an adequate size septic tank and seepage pit and the water is supplied via a public system approved by this office. Sincerely, DAVID R. L. DUNCAN$ M. D. Medical Director BY: Rolf R. Strickland, R. S. Sanitarian RRSlsrr