HomeMy WebLinkAboutT12N R3W SEC 33 LT 148B
~ ~ C'~ MUi',ICIPALITY OF A,',,. !'
//o'"~;}'/:FT'~.~.~ DEPARTMFN F .tEALTH AND FNVIRONM ~:,~ PROTECTION
~a ~. ' t~ ~ ~ Date Received: September 26, 1977
#2: #3:
Dar e _L_E3: I :)_7__ .
R]?,(_)UEST FOR APPROVAL OF INDIV.[DUAL SEWER AND WATER FACILITIES
Lending Institution Request: Alaska Mutual Savings Bank % Stormy
Mai.ling Address: Post Office Box 1120 99510 Phone: 274-3561/245
Proper'ny Owner:
Mailing Address:
Donald L./Irene L. Hitchcock Phone:
Star Route Box H008-L 99507
276-5535/her work
276-8123/his work
Legal Descripr].on: T12N R3W Section 33 Lots 148 & 148A
4: Single I,'amJ.]y Residence: (x) Number of Bedrooms: Three
Multiple Family Residence: ( ) Number of Bedrooms:
5. Well System: ]individual We].] [x) Conmlunity/Public 3ystem { )
Permit = Depth of We].]. We]_] Log on File
Construction Bacteria]. Analysis
6. Sewage Disposal System: On~si_te SysLem (x) PublJ. c Ut%lJ.~y ( )
Permit ,~ Installed Installer
Septic Tank Size Manufac%urer
Absorpnn. on Area Soils Rate
Material
Distances: Well
to Sewer Line
to Nearest Lot l,ine
Septic Tank
Nearest Lot
].ine
f~o Absorp~zon Area
Absorption Area
Raques~ fo~ Ap}rovaJ.
Ileal. th and F, nvironnental
of Tndividua] Sewel: and Water
Laqa] DescripLion: T12N R3W Section 33 Lots 148 & 148A
Affadavit Attached: ( ) ]',otter Attached
Approved: _~ ~ ' )ate; ~-t
Disapproved:
Dart3:
Department Worksheek:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVII]ONMENTAL PROTECTION
825 L Street, Anchorage, Alaska ' 99501
279-251], ext. 224, 225
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
/MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
I:NVIRONMENTA[ PROTECTION
SEP 2 6 1977
RECEIVED
1. Type of Inspection: VA.
2. Property Owner: .... HITCHCOCK, Donald L. & Irene L.
FHA CONY. ~X
Mailing Ad'dress: SILA Box HOO8-L
Name of Buyer: none- refinance
Old Seward Hwy
Day Phone: her wk=276-5535
his wk~276-8123
Mailing Address: n/a
Name of Lending Institution: Alaska Mutual Savings Bank
MailingAdclress:_ P. O. Box 1120 Anch Phone:
Name of Realtor or Agent: n/a
Day Phone: n/a
274-3561
ex: 245 attn: Stormy
Mailing Addmess:
Legal Description:
Location:
n/a Phone: n/a
Lots 148 & 148a, Sec 33, T12N, R3W, Seward Meridian
Anchorage
7. Type of Facility to be Inspected:_
8. Water Supply
Type of S[U)ply:
Well & Septic
No. Bdrrns.____3_
Public Utility .Individual ~XX
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-sit e)__~Y. XX
72 003(317G)
