HomeMy WebLinkAboutALYESKA BASIN #3 BLK 16 LT 6
DEPARTM
825
#I: Time 10:30 a.m.
Date 1-26-78 Thursday
MUNICIPALITY OF ANCHORAGF
OF HEALTH AND ENVIRONME~ L PROTECTION
Street, Anchorage. AlasKa 99501
264-4720
Date Received: January 24, 1978
%2: Time #3: Time
Date Date
Insp Pratt Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
will hand carry, call Whitney when ready
Lending Institution Request: First Federal Savings and Loan
Mailing Address: Post Office Box 4-2200 99509 Phone: 274-6561
Property Owner: Mark Hoffmon
Mailing Address: % Whitney Ellison, 243-1937
3. Legal Description: Lot 6 block 16 Alyeska Basin #3
4:
Phone:
o
Single Family Residence: (x)
Multiple Family Residence: ( )
Number of Bedrooms:
Number of Bedrooms:
One
Well System:
Permit #
Construction
Individual Well ( ) Community/Public System (x)
Depth of Well Well Log on File ( )
Bacterial Analysis
Sewage Disposal System: On-site System (x) Public Utility ( )
Permit ~ Installed 1973 Installer
Septic Tank Size 2,000 gallon holdin~an~kcturer
Absorption Area Soils Rate Material
Distances: Well to Septic Tank to Absorption Area
'to Sewer Line Nearest Lot line Absorption Area
to Nearest Lot Line
!ViUN~C~PAfLIT'~~ OF ANCHORAGE
,. ,~.,,~i- [. ~ I)~{PA~TA~EN'F OF ENVIRONMENTAL QUALITY
. .- ' REQUEST FOR APPROVAL OF
~NDIVIDLIAL SEWER and WATER FACILITIES
'i ~,'~r~, oi: i~st)~c'ii~)n' CMRO VA FHA
IYail fi A,Idr;%:. ¢ _~___~ . ~ h[~'~,e~ kU~,~ Day Phone
No. Bdrms.
Z~vmv'-~"' Publ~; tJtility U
Individual
!i ~Mivi~tt~ai, t~!!rrfimr oi' dwellings presently .served
I()():;/ (!//4)
Page Two
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 6 ,Block 16 Alyeska Basin ~3
Comments:
Affadavit Attached
Approved: _ _..~.
Disapproved:
Department Worksheet:
Letter Attached: ( )
Date: ,2,--f '--' Z.~,,
Date:
RECEIPT FOR CERTIFIED MAIL--30c (plus postage)
SENT TO
STREET AND NO.
POSTMARK
OR DATE
P,9." STAT%' AND ZIP CODE
OPTIONAL SERVICES FOR ADDITIONAL FEES
RETURN ~--~. Sh~h°m a[id--date~liv~ .....~.., ~15¢
,,~,,~,,,., ~ With delivery to addressee only ............ 65¢
.~,~,r. W 2. SHOWS to whom date and where delivered ,. 35¢
SERVICES ~lr With delivery to addressee only ............ 85¢
' SPECIAL DELIVERY (extra] f~ required)- .................. i ............ -
PS Form 3800 NO INSURANCE COVERAGE PROVIDED-- (See other side)
^~t, 1971 NOT FOR INTERNATIONAL MAIL
'~' GPO: 1972 O~,.~ 460-743
January 27, 1978
Whitney Ellisun
Ellison & E!lison
3660 North Point Drive
Anchorage, Alaska 99502
Subje~t~
Lot K Block 16 Alyeska Basin Subdivision
Mark Hoffman Property
Before this department will approve the request for
sewer and water facilities, the holding tank must be
pumped towerify its size.
The receipt can be sent to this office. Be sure the
receipt shows the amount of gallons pumped.
If there are any further questions, please contact this
office at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Sanitarian
RCP/lJh
cC: First Federal Savings and Loan
Post Office Box 4-2200 99509
5]TATEME~
ISAACS pUMPING SERVICE
(Norm Tibbetts, Owner)
6218 Quinhagak Street
ANCHORAGE, ALASKA 99507
INVOICE Ni. jMi~ER / DESCf~IP"rlON t CHARGES
BALANCE FOr?WARD
(';I ;' i;.t) I