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)