HomeMy WebLinkAboutBENITO BLK 1 LT 7i~! ~
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GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C"~S~treet, Ar~chorage, Alaska 99503 274-4561
// Date Received May 17, 1976
'~/ m-~~-''-.~~~~~~~ Time of Inspection 3:00 ~.m.
~ ~ Date of Inspection 5-18-76 - Bob
REQUEST FOR APPROVAL OF Tuesday
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Cony.
1. Approval requested by:
Mailing Address: Phone:
2. Property Owner: Edward M. Norman Phone:
Mailing Address: Post Office Box 588, Eagle River 99577
3. Legal Description: Lo~t 7 Block 1 Benito Subdivision
4. Location: Genora Street off of Eagle River Road, see map
694-9144
8
Type of facility to be inspected
Well Data: Individual
Single Family No. of bedrooms 3
A. Type B. Depth
C. Construction ~. Bacterial Analysis
Sewage Disposal System
A. Installed B. Installer
1. Size
2. Manufacturer
1. Absorption Area
Total length of lines
102'
C. Septic Tank:
D. Seepage Pit:
E. Disposal Field:
Distances:
, Absorption area
, Other contamination
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
2. Material
, Absorption area
, Sewer Lines
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
page 2 of two pages - Ret st for Approval of Individual ~ ~r & Water Facilities
Legal Description Lot 7 Block 1 Benito Subdivision
Comments
Approved
/~~ ~-~'~~ Disapproved Date ~--'-Q t/~7.~.
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 PROTECTIONEN R
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO
2. Property Owner:
Mailing Address: po ~a ,{,
3. Name of Buyer:
Mailing Address:
4. Name of Lending Institution:
Mailing Address:
5. Name of Realtor or Agent:
Mailing Address:.
6. Legal Description: Z
Location: ~C.ยข.)
FHA
Day Phone:
, ECE, tVED.,
CONV '~
Day Phone:
Phone:
Phone:
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply:
Public Utility Individual
If Individual, number of dwellings presently served
If Individual, depth of well ! ~ ~ /c-~-
Sewage Disposal System
Type of System: Public Utility
Individual (on-site)
If Individual, date of installation
72-003(3/76)
