HomeMy WebLinkAboutEAGLE RIVER HEIGHTS NORTH BLK 12 LT 6Add,a.
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EAGLE River Area
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received February 18, 1977
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Conv.
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
Alaska Pacific Bank
Post Office Box 420
Charles Ferrin
Post Office Box 927
Phone: 276-3110
Phone: 694-9825
3. Legal Description: Lot 6 Block 12 Eagle River Heights North
4. Location:
Single Family
5. Type of facility to be inspected
6. Well Data: C~,~z~
A. Type ~ J B. Depth
C. Construction ~~-~ D. Bacterial Analysis
7. Sewage Disposal System: Public Utility
B. Installer
A. Installed
C. Septic Tank:
D. Seepage Pit:
2. Manufacturer
, Absorption area
Other contamination
No. of bedrooms 3
, Absorption area
, Sewer Lines
1. Size
1. Absorption Area
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
C. Absorption area to nearest lot line
2. Material
EQ-034 (1/74) Page 1 of two pages
/vlUNIClPAIJTY OF ANCHORAGE
DEPT, C~ H;-ALTH &
MUNICIPALITY OF ANCHORAGE F. NVIRONMENIAL PkOTI:CTION
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 F E B ! 8 1977
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES .REC EI EI).
1. Type of Inspection: CMRO
2. Property Owner:
Mailing Address: ~-/~-
3. Name of Buyer: ~
Mailing Address: ~>'~--
4. Name of Lending Institution:
Mailing Address:
VA FHA
Day Phone:
Day Phone:
Phone: ~
5. Name of Realtor or Agent:
Mailing Address:
Legal Description: ~ ,,~-'~ ~,o ~ / ~,' ?'~--
Phone:
Location:
Type of Facility to be Inspected: ~/~'
Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently served
If Individual, depth of well ~
Sewage Disposal System
Type of System:
Public Utility
Individual (on-site)
If Individual, date of installation
3(3/76)
Page 2. of t~o pages - R( )st for Approval of Individual ~er & Water Facilities
~Legal Description Lot 6 Block 12 Eagle River Heights North
Comments
p~roved Date ~
A o
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 and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily,
SIGNED
Date
iQ-034 (1/74)
~r~h 2, Z977
Alaska P&c~[~c Bank
Pomt Off£2ce Bo_~ 420
Y, ortqaqe Loan Section
Anoho~age, ~laska 99510
Subject= Lot E Block 12 E&gle River Heights North
The applioation for approval sa the subJeot property states
the residence is ooaneoted to publio sewer. This department
has made an inquiry to the Public Works Department reg&rding
billing and proof of oonneotion on Marsh 1, 1977. The reply
to our inquiry was the property is not being billed and no
record of a connection is on file.
The department can not process the &pproval request until the
matter is resolved. The Department of Public Works (277-7622)
should be so, tasted. A dye test is recu~uended. The test
oonsists of an e~ployee of Public Works plaoing dye in the
residence se~er and ohec~ing for its presence in the pt~hlic
sewer l~ne.
If you have any further questions, please contact this
offioe at 279-2511, extension 224 or 225.
Sincerely,
~s N. ~olz, R.S.
~i~ian