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Home My WebLink AboutSHANE LEE ESTATES BLK 1 LT 1S NAND S�D #oly C)41 5`7 LOT 1 Time APPLI( �AT FILLS OUT UPPER HAL ONLY Property Owner I- ! C f C. `/ �i' %;- C�,i;-i / y'� , Phone Mailing Address - �' % ,1 _ / J Zip Code Buyert� t' 4% 1 Il e T- til / Address Zip Code Lending Institution Phone Inspector Address - Zip Code Realty Co. & Agent i\L - ,�7 ,/ ��. �t ( � ��' c f �� X.It (%C' r ,l ✓ �l Yl "� %� I!'' 4')C) i l Sl' r I Phone Address � - �� J �� 1/; <=-<-t%�' � �� 1 � Zip Code (< Legal Description 1 U'{ fJ�(i'C 1, ^:-t'a C -S Street Location AUG i. 11983 Type of Residence Single Family ( ) APPROVED BEDROOMS ❑ Multiple Family No. of Bedrooms ❑ Other Water Supply Individual ( ) CONDITIONAL APPROVAL' ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility DATE BY: L Sewer Disposal ❑ Individual Year Individual Installed: Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time j C N SC2s�A0 v Date Date Date Date S Inspector Inspector Inspector Inspector OF ANCHORAGE Field Notes: MUNICIPALITY DEPT. OF HEALTH & PROTECTION Q� ENVIRONMENTAL AUG i. 11983 RECEIVED. ( ) APPROVED BEDROOMS `CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE BY: L r Soils Rating Well To Absorption Area Well Log Received Septic Tank Size Uatewe�Installed Well to Tank 72023 (3182) Lq-DW '- c5" August 3, 1983 Arvid E. & Leslie A. -;aisanen 3027 E. 68th Anchorage, AK 99507 Subjects .Lot 1, Block 1, Shane Lee Estates Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: Expose the well for our inspection to determine proper `) construction, also to insure minimum distance requirements are net between the well and sewer system. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Hobert C. Pratt Associate Environmental Specialist RP23/p/E N N 5. LEGAL ESCRIPTION 13 D TER CEIVED INSPECTION APPOINTMENTS .'SAME TIME TIME a'. 3a "A DATE DATE DATE ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six INSPECTOR INSPECTO - C2KY• INSPECTO MUNICIPALITY OF ANCHORAGE PROTAM6WALITY CF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL 825 L Street - Anchorage, Alaska 99501 DEPT. OF_'_111-1, 1 " ENVIRON,\4ENl+L '1-CTION ENVIRONMENTAL SANITATION DIVISION IU U. ` 980 Telephone 264-4720 J REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SERTilyfIff DI RECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPrzRTYOWNER PHONE _ }� MAILING ADDRESS ,t 0 C PROPERTY RESIDENT (If different frorh above) PHONE - `� 2. BUYER A PHONE MAILING ADDRESS �? 3.. LENDING IN ITUTION - PHONE MAI LING ADDRESS 1 � S" I?/ 1 4. RE TOR/AGENT - P ONE co MAILINGAID SS _ // N 5. LEGAL ESCRIPTION STREET LOCATION ��.y J h 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY ❑ 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 ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM ❑ INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6179) �k) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ' ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE El PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS Lv� APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE '4 2cj BY� (r 72-010 (Rev. 6/79) r-�Akunicipality1. Anchorage Y 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION December 29, 1980 Warren Roberts 3027 East 68th Avenue Anchorage, Alaska 99507 Subject: Lot 1 Block 1 Shane Lee Estates Subdivision Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report needs to be delivered to this office from the Chem Lab, 5633 B Street, for our review. (2) The depression or pit around the well casing needs to be filled with impervious type soil so that it slopes away from the well casing. (3) The top of the well casing sealed with a sanitary seal so that it is watertight. Please notify this office for a reinspection when the noted descrepancies have been completed. If there are any further questions, please call this office at 264-4720. Sincerely, a Robert C. Pratt, R.S. Associate Specialist RCP/lj w cc: Alaska Pacific Bank % Betty High 101 Benson Boulevard 99503 Judit Rowland Post Office Box 1201 99577