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Home My WebLink AboutEDEN PARK #3 LT 2 (2) DATE RECEIVED INSPECTION APPOINTMENTS T;'ME TIME TIME DATE DATE DATE I NSP ECTOR INSPECTOR INSPECTOR ~U~IClPALITY OF ANCHORAGE MUNfCI~ALI'[Y OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONDEPT' ' ~L ~ ~,~ECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION ~, ~ ' - - Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE MAILING ~H~SS ' PROPERTY RESIDENt(If different from':above) - - PHONE 2, BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION I PHONE MAILING ADDRESS PHONE 4. REALTOR/AGENT .D/ MAI LING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE ~, SINGLE FAMILY gMULTIPLE FAMILY NUMBER OF~BEDROOMS L/[J~[~ One [] Four J~ Two [] Five [] Three [] Six Other 7. WATER SUPPLY ~ INDIVIDUAL* %~.r~-~'>u~b/~L-* 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 UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6~79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [~ SINGLE FAMILY [O MULTIPLE FAMILY ,, WATER SUPPLY INDIVIDUAL COMMUNITY PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified E~Septic Tank or []Holding Tank Size: If Tank is homemade give dimensions: NUMBER OF BEDROOMS [] ONE [] THREE [~] FIVE [] TWO [] FOUR [] SIX PERMIT NUMBER DEPTH O:WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE IN,~;TALLED I-~-AL L ER SOILS R,a,TI N G OTHER TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERI/~L 4. DISTANCES Septic/Holding Tank Absorption Area ISewer Line I Nearest Lot Line I I WELL TO: Absorption Area to ~]earest Lot Line 5. COMMENTS [] APPROVED FOR ' BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate ~ DISAPPROVED DATE BY 72-010 (Rev. 6/79) CHEMICAL & G~OGICAL LABORATORIES ~.~' ALASKA, INC. ~ Drinking Water Analysis Report for Total' Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: I II I I 11 I.D, NO. Water System Name Phone No. Mailing Address City State Zip Code Mo. Day Year SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose E Treated Water [] Untreated Water SAMPLE NO. 1 3 LOCATION Time Collected Collected By TO BE COMPLETED BY LABORATORY Ana vs~s snows this Water SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Samp~e~oo ong in transit; sample should not be over 48 hours old at examination ~o incicate reliable results, Please send new sam 316. Date Received Time Received Analytical Method: [] Fermentation Tube U Membrane Filter Lab Ref, No. Result* Analyst L I-T-] READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 lb) Rev, 3.978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collect e<l Source 24 Hours 48 Hours 24 Hours 48 Hours EMB Broth 24 hours: Multiple Tube Report: Membrane Filter= Direct Count Verification= LTB Final Membrane Filter Results Reported By Broth 48 hours: .1Omi Tubes Positive/Total 10mi Portions Collforrn/100ml BGB Collform/100ml Date Time= a.m. REPORT FOR: DATE REC'D: DESCRIPTION OF PROPERTY: Land Tax IBer-'vice, Inc. 410 TUDOR rOAD ANCHORAGE, ALASKA 99503 · (907) 276-0903 REPORT OF TAXES AND SPECIAL ASSESS IEHTS LAWYERS ORDER NO. 78-884 ESCROW NO. 4/19/78 DATE OF SEARCH 4/19/78 E 50.' OF W 100' OF LOT 21, SEC 33, T13N, R3W SPECIAL INSTRUCTIONS: TAXES TAX ACCOUNT NO.: 008-042-20 CODE AREA: 03 POSTED THROUGH: 3/31/78 Delinquent Date Year Levy Due Date Date Paid Balance Balance Foreclosed 76 0 77 526.56 7/15 9/21 0 SPECIAL ASSESSMENTS No. of Amount Delinquent Date Type Levied by Balance Due Payments Each Due Date Balance Foreclosed SEWER TO BE ASSESSED ON CONNECTION WATER CITY NO WATER AVAILABLE ASSESSED TO: 0 ' HALLEY NEW VALUATION: COMMENTS: LAND: 19,,500 77 & 78 BUILDING: 11,025 77 & 78 CONSIDERATION OF THE FEE PAID FOR THIS REPORT, THE INFORMATION CONTAINED HEREON IS GUARANTEED ACCURATE TO THE DATE OF FILING. REVERSAL OF PAYMENTS, FOR ANY REASON THAT REFLECT ON THE ACCURACY QF THIS REPQRT WILL NOT BE OUR RESPONSIBILITY. WE WILL NOT BE LIABLE FOR TAXES NOT NOW PAYABLE OR MATTERS RELATING TO SPECIAL ASSESSMENTS AND SPECIAL LEVIES IF ANY, PRECEDING THE SAME BECOMING A LIEN. LIABILITY LIMITED BY AGREEMENT. SERVICE INC. : ( t ' Land Tax Service, Inc. 410 TUDOR ~OAD · ANCHORAGE, ALASKA 99503 . (907) Z76-0903 REPORT OF TAXES AND SPECIAL ASSESSIVtE ITS REPORT FOR: DATE REC'D: 4119178 DESCRIPTION OF PROPERTY: SPECIAL INSTRUCTIONS: LAWYERS ORDER NO. 78-88q DATE OF SEARCH 4119/78 E 50' OF W 1/2, LOT 21, ESCROW NO. SEC 33, T13Nz R3W TAXES TAX ACCOUNTNO.: 008-042-2-1 CODE AREA: 03 POSTED THROUGH: 3/31/78 Delinquent Date Year Levy Due Date Date Paid Balance Balance Foreclosed 76 0 77 62Z. 42 7/-15 9/2-1 0 SPECIAL ASSESSMENTS No. of Amount Delinquent Date Type Levied by Balance Due Payments Each Due Date Balance Foreclosed SEWER TO BE ASSESSED ON CONNECTION WATER C]:TY NO WATER AVAILABLE ASSESSED TO: 0 t HALLEY NEWVALUATION: LAND: ~L9,,500 77 & 78 BUILDING: 16,525 77 & 78 COMMENTS: CONSIDERATION OF THE FEE PAID FOR THIS REPORT, THE INFORMATION CONTAINED HEREON IS GUARANTEED ACCURATE TO THE DATE OF FILING. REVERSAL OF PAYMENTS, FOR ANY REASON THAT REFLECT ON THE ACCURACY QF THIS REPORT WILL NOT BE OUR RESPONSIBILITY. WE WILL NOT BE LIABLE FOR TAXES NOT NOW PAYABLE OR MATTERS RELATING TO SPECIAL ASSESSMENTS AND SPECIAL LEVIES IF ANY, PRECEDING THE SAME BECOMING A LIEN. LIABILITY LIMITED BY AGREEMENT. BY: LAIND ~X SERVICE INC.