HomeMy WebLinkAboutALYESKA Block 4 Lot 9
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received August 19, 1976
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Cony.
Approval requested by: National Bank of Alaska
Mailing Address: Post Office Box 3-3859
% Marva Goodson
Phone: 279-2506
2. Property Owner: Richard & Barbara Sutherland Phone:
Mailing Address:
3. Legal Description: Lot 9 Block 4 Original Alyeska Subdivision
4. Location:
5. Type of facility to be inspected
6, Well Data:
A. Type
Single Family
Community System
C. Construction
7. Sewage Disposal System:
A. Installed
C. Septic Tank: 1. Size
D. Seepage Pit:
E. Disposal Field:
8. Distances:
A. Well to: Septic tank
Nearest lot line
1. Absorption Area
Total length of lines
No. of bedrooms 3
B. Depth
D. Bacterial Analysis
On-site system
B. Installer
2. Manufacturer
2. Material
B. Foundation to septic tank
C. Absorption area to nearest lot line
, Absorption area
, Other contamination
, Absorption area
Sewer Lines
EQ-034 (1/74) Page I of two pages
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALITY
-~et, Anchorage, Alaska 99503 -. 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO
2. Property Owner: ~L>L'~ 6b%'~('J OF'
MUNtCI~PA[I~TY OF ANCHORAQE
DEPT. OF HEALTH &
ENVIRON/v~.T, AL PROTECTION
AUB; 9 i9/0
RECEIVED
VA
FHA
Mailing Address:
Mailing Address: /0(~ /~f-~ ~-~Z/// _ ~4~
4. Name of Lending Institution: -c-~ '~-~0¢~ ~ ~
CONV
Day Phone
Day Phone
Mailing Address: ~ 0 ~(/~. ,3 ~ 5 ~ S ? Phone r~ 2 ~ ¢~..~'-'~ ~o .._
Name of Realtor or Agent:(~~ ~l/q~i/~ ~P~_ _~&~- ~'~r)~ ~L/67~ '~--~
Mailing Address:
Legal Description:
Location:
Type of Supply: Public Utility U~¢Z6'?;~(~/~'(~ndividual
If Individual, number of dwellings presently served
If IndiVidual, depth of well
Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation ~
Individual (on-site) ~'/
~C~.037 t1/74)
Page2 of two pages - Re. ;t for Approval of Individual r .~r & Water Facilities
Legal Description Lot 9 Block 4 Original Alyeska Subdivision
Comments ~ /~-s7'/7'//~ ~,~ /y~./~// w.~ ¢~ ~ ~o~,~,~/.
Approved~~. ~~ Disapproved Date ~ '~F- 7~
Approval ~Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
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)
STATF ENT
ISAACS PUMPING SERVICE
(Norm Tibbetts - Owner)
1601 Tudor Road
ANCHORAGE, ALASKA 99507
Phone 272-3731
TERMS
(at,EASE DETACH AND RETURN WITH YOUR REMI'i"rANCE
BALANCE FORWARD
ISAACS PUMPING SERVICE
H. 1~. Redmond ~o.
P.O. Box 488
Girdwood, AK. 99587