HomeMy WebLinkAboutALYESKA Block 13 Lot 2
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received December 3, 1976
Time of Inspection 10:30 a.m.
Date of Inspection 12-7-76 Tuesday
REQUEST FOR APPROVAL OF Pratt
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
National BAnk of Alaska
446 West 4th Avenue
Elden Dufek
Box 442 99510
Phone: 272-5544
Phone: 272-5003
3. Legal Description: Lot 2 Block 13 Alyeska Subdivision
4. Location: See attached map.
.5. Type of facility to be inspected Sincjle Family
6. Well Data:
A. Type Community
C. Construction
7. Sewage Disposal System:
A. Installed 1973
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
C.Absorption area to nearest lot line
No. of bedrooms 2
B. Depth
D. Bacterial Analysis
Holding Tank
B. Installer
l. Size 2. Manufacturer
Absorption Area 2. Material
Total length of lines
, Sewer Lines
, Absorption area
, Other contamination
, Absorption area
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Re~ st for Approval of Individual ~ er & Water Facilities
Legal Description Lot 2 Block 13 Alyeska Subdivision
Comments
Disapproved
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)
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
1. Type of Inspection: CMRQ VA
4. Name of Lending Institution: ~ r~ ~ ~- ~i~,
5. Name of Realtor or Agent:
Mailing Address:
6. Legal Description: J~_~ .'"r' ,~
FHA CONV
Day Phone:
Day Phone:
Phone:~__
Phone:
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply:
Public Utility.
No. Bdrms. ~
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 '~'~, ~r'
Individual (on-site)
72-003(3/76)