HomeMy WebLinkAboutPREUSS #3 BLK 10 LT 505O
57/ o00
~?pril 1~, 1978
~77164
Lee Sullivan
Post Office Box 197
Eagle River, Alaska
99577
Subject: Permit Expiration
A permit issued by this depart~2nt for well and/or on-site
sewer installation on Lot 5 Block 10 Preuss Subdivision
has expired since .the issue date exceeds one(l) year.
In the event you still plan to install the well and/or
on-site s~,~r sy~te~, a ne~ permit is ''~- '~
. requ~_e~. The original
soil test may be usea to obtain a current permit.
If the well has been ~riiled, a well log should be sent
to this department to document the lnstallation date.
If you hav~ any questiOnsregarding the above matter, please
contact this office immediately at 264-4720.
Sincerely,
Les N. Buchholz~ R.S.
Senior Environmental Specialist
F'ERHI T NCL
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HZNii'IUPi E:,:['E, TRNCE BE'I"P4EE;N R 14ELL. RN[.':, RNY ON-~
±00 FEE]' FOR R PRI',,,'RTE FIELL. OR 2E~O FOR R
~4ELL. LOG?.'; RRE RE[-'4UIREB, RND P1UST BE TO
OF THE ~4ELL COMPLETION.
SPEC: I F ]: CRT I [)N:E'; RND IZ:ONSTI
I NE;TRL. LRT I C'tN.
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i: i Ftf,1, ,FFIHII_IF4F.: ~,.ItTH/TH,~ REC!I_ItF.:EHEN]
FL-IRI"H B.r THE HUN ]: F': I F'RtL I T -r L-iF RNI.-_:HL'IF-:I-RGI
2: I ~4ILL INS] THEi
, fiRE
LOT ~E x,,X~ EJ SC!..IRRE FEET
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r
7URE F'F-:O F'E F'::
ITE L=;EHERS RND [,JELLS; RS SET
THE L. UE. E::,.
S Z GNED
t '.';.; S; i_i E [:,
RF I.. L L I ',,,'RN
825 L Street, Anchorage, Alaska. .99501
279-2011, ext. 224 or 225
Date Received: A_~ril 26~ 1977
#1: Time
Date~_~__~
InSp
_37~flll~.- #2: Time __/l?.~ #B: Time
7. ~/~_~. ~ate __~_ L~__I~_~_Q~.A~~ Date
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request: Spokane Mortgage Company
Mailing Address: 3201 C Street 99503 Phone: 277-0543
2. Property Owner: William Folsom Phone: 694-2627
Mailing Address: Star Route Box 5224 Eagle River 99577
Legal Description: Lot~ Block' 10 Preuss Subdivision
4: Single Family Residence: (x)
Multiple Family Residence: ( )
Number of Bedrooms:
Number of Bedrooms:
Well System:
Permit #
Construction
Individual Well (~ Community/Public System ( )
Depth of Well Well Log on File ( )
Bacterial Analysis
Sewage Disposal System:
Permit #
Septic Tank Size
Absorption Area
On-site System k~ Public Utility ( )
Installed Installer
Manufacturer
Soils Rate Material
Distances: Well to Septic Tank
to Sewer Line Nearest Lot line
to Nearest Lot Line
to Absorption Area
Absorption Area
Page ~wo
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 5 Block 10 Preuss Subdivision
Comments:
Affadavit Attached
Disapproved:
Letter Attached: (
Dat. e:
Department Worksheet:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALITY
Sewer and Water Sect±on, =Fourth Floor, 825 T. Street, Anch., Ak.
Attention: Laura Harrison
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. ~ype of Inspection: CMRO VA FHA
2. Property Owner: ~7~:~:~ William Folsom
Mailing Address: S.R. Box.5224, Ea~;le River, Ak, 995719ay Phone
3. Name of Buyer: MERVYN J. WETHERLEY
Mailing Address: 1545 So. Hoyt, Spt. #92, Anch,, Ak, Day Phone
4. Name of Lending Institution: SPOKANE MORTGAGE CO.
Mailing Address: 3201 "C" Street, Suite 250, Anch,, Ak Phone
5. Name of Realtor or Agent: n/a
Mailing Address: n/a Phone
CONY XX
694-2627.
n/a
277-0543
9950~
6. Legal Description: Lot 5~ Block 10, Preuss Subdivision, Eagle River, Alaska
Location: Eagle River Lane & Lucas Avenue
o
Type of Facility to be inspected-:
Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently se~ed
If Individual, depth of well unknown
Single Family No. Bdrms. 3
Individual
Well
Sewage Disposal System
Type of System:
Public Utility ~ Individual (on-site) Septic
If Individual, date of installation This house is new construction
EQ-037 (1/74)
