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HomeMy WebLinkAboutALDERWOOD BLK 1 LT 18 1. Approval requested by: Mailing Address: ~i)?}~k ~F~/ GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 2. Property Owner: 4. 5. 6. Date Received / ,-~,/,~ Time of Inspection Date of Inspection Type of facility to be inspected.%~¢~ No. of bedrooms Wel 1 Data: ~'~ ,~ B. Depth A. Type T" C. Construction Sewage Disposal System:~~~~--~ A. Installed B. Installer D. Bacterial Analysis C. Septic Tank: D. Seepage Pit: l. Size, 1. Absorption Area 2. Manufacturer 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re Ce~a 1 -Descri pti on st for Approval of Individual . Water Facilities Comments Approved ~-'~-- Disapproved 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 EQ-034 (1/74) .~,~c,', ,~,,~CHORAGE ~,i-~.,. BOROUGH .... ~,=n of Environm¢.~tal Quality 3330 "C" st~ Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES I. Type of Inspection' CMRO VA 2. Property Owner: M±chael & ~loria Craig Mailing Address: 6344 Air ~uard Road o Name of Buyer: David P & Susan K. Selberg :. Mailing Address: Box 516, Chugiak, Alaska Day Phone 274-9531 ,~ame of Lendin'g Institution: Spokane Mortgage Co Mailing Address: 523 West 8th Avenue, Anch., AltPhbne 277-0543 N a m e o f R e a I t o r o r A g e n t: Cy Barker, Skyway Realty Co. Mailing Address: 3202 Spenard Road Phone 6. Legal Description: Lot 18, Block 1, Alderwood Manor Subd. Loca ti on: Sand Lake Type of Facility to be inspected: 3 Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served if individual, depth of well 120 feet Sewage Disposal-System Type of S~stem: Public Utility If Individual, date of installation No. Bdrms. one Individual (on-site)