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HomeMy WebLinkAboutALYESKA Block 11 Lot 7 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR July 29, 1976 1. Approval requested by: .T..o.te.m Re~ktty,, , Inc. Mailing Address: 724 East 15th Avenue 2. Property Owner: Ralph G. Crews Phone: 272-0571 Phone: 277-1616 Mailing Address: 425 G Street Suite 920 - 99501 3. Legal Description: Lot 7 Block 11 Alyeska Subdivision 4. Location: See map 5. Type of facility to be inspected 6. Well Data: Community System A. Type C. Construction Single Family No. of bedrooms 2 7. Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: 1. E. Disposal Field: 8. Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank 1967 1. Size Absorption Area Total length of lines B. Depth D. Bacterial Analysis On-site system B. Installer 2. Manufacturer , Absorption area , Other contamination 2. Material , Sewer Lines , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two:pages - Req ~t for Approval of Individual S Jr & Water Facilities Legal Description Lot 7 Block 11 Alyeska Subdivision Comments Approved Disapproved (~y~/~~tDate 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) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES M!ji-4!Cii~AUTY Oi: ANCHORAGE [NVIRC)NM[JN1 Ai. i'l~O i'iECl'lOhl 1. Type of Inspection: CMRO 2. Property Owner: Ralph G. Crews VA FHA CONV . Mailing Address: 42.5 G St.~ Suite 920 Anchorage, AK Name of Buyer: MIKE AND 277-1616 Day Phone: BARBARA MI CKEY Mailing Address: Box 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Mailing Address: 6. Legal Description: Location: 565, Girdwood, AK N/A Day Phone: --- Totem Realty~ Inc. 724 E. 15th Ave., ANch. Lot 7) Blk. 11) A.lyeska See attached plat Phone: Phone: S/D 272-0571 and comment below 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: SFR No. Bdrms. 2 Public Utility ,Individual. 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 appx. , Individual (on-site) 1967 XX INSPECTION MUST BE COORDINATED WITH ISSAC'S PLUMBING. Norm or Ken - 272-3731. Speak to 72-003(3/76) Ij J oar~: OF su.veY I NAMz o~ s~ STAT[ OF AL~SKA O~PARTMENT OF NATURAl. RI~$OURCE$ OiVl$10N OF LANDS