HomeMy WebLinkAboutEAGLE RIVER MID HEIGHTS BLK 4A LT 1A
Eagle River Area
GREATER ANCNORAGE AREA BOROUGH
Department of Environmental Quality
3330 "¢" Street, Anchorage, Alaska 99503 274-4561
Date Received March 10, 1977
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Description:
4.
5.
6.
Alaska Mutual Savings Bank
Post Office Box 1086 99577 Phone:
Charles S. Barr Phone:694-9010
Post Office Box 541 Eagle River ~
Lot 1 Block 4A Eagle River Mid-Heights
Location:
Type of facility to be inspected
Well Data:
A. Type Individual
C. Construction
Sewage Disposal System:
A. Installed
C. Septic Tank:
D. Seepage Pit:
E. Disposal Field:
Distances:
Single Family
Eagle River & Baffin Street - ~(lu~.
No. of bedrooms
B. Depth 160'
D. Bacterial Analysis
Public
1. Size
1. Absorption Area
Total length of lines
B. Installer ~
2. Manufacturer
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
, Absorption area
Other contamination
C. Absorption area to nearest lot line
2. Material
, Sewer Lines
, Absorption area
EQ-034 (1/74) Page 1 of two pages
MUNICIPALITY OF ANCHORAGE MUHICIPALIT( OF ANCHOP, AGE
PT. OF
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTEL~,~J~NME~rAL
825 L Street, Anchorage, Alaska 99501
279-2511, ext. 224, 225
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
RECEIVED
Type of Inspection: VA FHA CONY
Property Owner:_//'//~ ¢~ ~- ~' ',~ '-~"
Mailing Address:(~0' O, b1~ X 5'~// ~,b~ Day Phone:
Nameof Buyer: ~ ~ (ff. / /~/~
MaiiingAddress:/D,C' (~A' ~2,~ ~Re//_'~ /~'/u,~,<~DayPhone:~/¢/-/~--
Name of Lending Institution: ~J/~ ~/(~ ~/x 7-Jc~/. ~5/~k/~
Ma ngAddress: ~/4 G ~/~ _~','~,3~ / ~ /( Phone: /¢¢
5. Name of Realtor or Agent: z~,f///~
Mailing Address: /~///~ Phone:_A~//~
6. Legal Description: / ~ __/ ~/~ ~ ~ ~AC'/¢ ~l'Jzi~ - ~/'~-
Location: F~C-tE ~,'~lS~___~ ~ ~/'~ ~
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply:
/'/0 ~ ~ No. Bdrms. ~,~
Public Utility Individual ,)(
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal System
Type of System:
/
Public Utility
If Individual, date of installation
X
Individual (on-site).
72-003(3/76)
P~ge 2 of two pages - Rec ;t for Approval of Individual S )r & Water Facilities
Legal Description Lot 1 Block 4A Eagle River Mid-Heights
Comments
Approv~d~.~d
pproved
or one year from date signed
Date ~ ~/J->7
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
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
EQ-034 (1/74)
ZIP CODE
~mple.
[] Beffle ~oken in lraMJt, please ~ new sample.
~I~PLE ~COLLECTED
00th~
Tap [~ Bathroom Tap [] ~asemen~p
n Bored
Open Top ~] Caflcrm~
I'1 Under H~e'~
Fe~t. Pr~ ~. ._--~.~
. ~,&NIT~ I~RKS
I~..D INSTRUCTIONS
B~FORE
c t .iNG Sr.. m, PLE