HomeMy WebLinkAboutALYESKA BASIN #3 BLK 7 LT 2
epo ~y
S tr e.'.~:]-~
~.~-Jj~z/. ~F HEALTH & ~epar~ment of Envi ronmental Qual i ty
~~N1-AL~TI~ St., Anchorage, Alaska 99503 - 274-4561
RECEIVED .D V BU L
1. Type of Inspection: CMRO VA FHA CONV
2. Property Owner: ~~ ~ ~~/
Mai.ling Address: ZZ~/~/A~
3. Name of Buyer: ~~~
Mailing AddresS: ~~ ~.
4. Name of Lending Institution:
Mailing Address: ~.~~
(q.k,~N~me of Realtor or.Agent: ,~~
6. Legal D escripti0_~: ~ ~/~ :~/~o~y :~ '.~',' ~X~'.'
7. Type of Facility to be inspected: d~~ No. Bdrms. ~
8. Water Supply
Type of Supply: Public Utility
Individual
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
Type of System:
If Individual, date
EQ-037 (!174)
Public Utility Individual (on-site) of installation ~h~C '}9/~/ ~-, ~,,~,,~
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
¢onv.
1. Approval requested by: National Bank of Alaska
Mailing Address: Post Office Box 3-3859
2. Property Owner: James T,. Heisel
Mailing Address: 1741 Barlington, 99504
3. Legal Description: Lot 2 Block 7 Alyeska Basin I~3
5. Type of facility to be inspected Single Family
6. Well Data:
A. Type Community
C. Construction
7. Sewage Disposal System: On-site system
A. Installed 1974/75 B. Installer
99503 274-4561
Date Received February 10, 1977
Time of Inspection
Date of Inspection
Phone: 279-2506
Phone: 265-6136
No. of bedrooms 2
B. Depth
D. Bacterial Analysis
C. Septic Tank: 1. Size 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank , Absorption area
Nearest lot line , Other contamination
B. Foundation to septic tank , Absorption area
C. Absorption area to nearest lot line
, Sewer Lines
LQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - R~ ,t for Approval of Individual :r & Water Facilities
Legal Description Lot 2 Block 7 Alyeska Basin Unit #3
Comments
Approved ~Disapproved
Date ~//~7/~
/
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)