HomeMy WebLinkAboutALYESKA BASIN #6 BLK 7 LT 10 DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTECTION~ ENVIRONMENTAL SANITATION DIVISION OCT 1 6 1980 Telephone 264-4720 rN r. ~- ri i % il- rN DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER I PHONE August (Gus) Zaccaro] 78Z-275P MAI hi NG ADDR ESS C/O Alyeska Resort, Gi:~dwood, ~. 99~87 PROPERTY RESIDENT (If different from above) PHONE ~ew Construction/vacant 2. BUYER PHONE Richard H. ~rtla.nd 2~76-~$6~© MAI LING ADDRESS 6464 Village Parkwa.y~ ~huchora.ge~ Ak. 99504. 3. LENDING INSTITUTION I PHONE 1 Alaska Pacific Bank 27+-96~1 MAILING ADDRESS 101 Benson Blvd.~ ~mchora.ge~ ~k. 9950~ 4. REALTOR/AGENT I PHONE Jack ~/~ite Co. - Jack Vanden Ber~'I 277-155~ MAI LING ADDRESS ~201 C St.~ Anchora~e~ ~2~. 99505 5. LEGAL DESCRIPTION Lot 10~ Block STREET LOCATION Timberline Dr. 6. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY ?, Alyeska Basin Sub., Unit III (North side of road at "S" curve) NUMBER OF~BEDROOMS [] One [] Four ~ Two [] Five [] Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled · since June 1975. For wells drilled prior to that date, give well depth (attach log if available,) 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY 1980 YEAR ON-SITE SYSTEM WAS INSTALLED. Holding tank. , NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3, SEWAGE DISPOSAL SYSTEM [] IN DIVI DUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or [] Holding Tank Size: If Tank is homemade give dimensions: THIS SIDE FOR OFFICIAL USE ONLY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SlX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATI~NG TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AR EA MATERIAL 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line Septic/Holding Tank IAbsorption Area JSewer Line [] OTHER INearest Lot Line 5. COMMENTS DATE ~ APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev, 6/79)