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Home My WebLink AboutT13N R3W SEC 33 Lot 6stc 33 [~ , ~ REQUEST FOR APPROVAL OF :--~~:/ '~k~ / ~ ' INDIVIDUAL SEWAGE AND WATER FACILITIES / ~??- ~7~/ ~ ~-- (Fill out in Triplicate) '%~ %lame .of person requesting approval o%~C~ 0 ~ ~v~-~ ,,. Numb~,<off ~bedrooms in house Water Analysis: a. Bactex, ial b. Detergent 3. 4. 5. 6. Welt data: b. Depth c. Casing Size d. Distance from well to closest existing or proposed: 1~3~, ~>~ 1. Sewer l~ne ~ ~ ~ ~~'~2~¢~'~ ~ 2. Septic tank ~ -i~ ~ 3. Seepage Area ~ - '~::' ~ 5. P~operty Line ....... . "~ ~) '' 6. Other sources of possible contamination, i.e.~ creeks, lakes, d ' houses, barn, ra~nage dltch~ etc. ' 7. Sewage disposal system. a. Age of system b. Septic tank capacity in gallons,, c. Name of septic tank manufactu~m 1. If "home made" show diagram on reverse side of this form. d.' Disposal field or seepafe pit size and type 1. Distance to property line to house foundation Percolatio~ Te~t 'Tesults ~ f. Percolation Test performed by ...... , x~.. Use the reverse .side of this form to show diagram. Diagram should include i~the following information~ property lines~.well location, house location, ~utic tank location, disposal area location, location of percolation test, an~ direction of ground slope. 9. The Information on this form is true and correct to the best of my knowledge. \, S%~:nature of Applicant Date Signed T_O BE FILLED O[!T BY HEALTH DEPART~,~ENT PERSONNEL The above described sanitary facilities are disapproved fo~ the following reasons: "'S'ignature of ~f~i'~:f~ ':e'":'"-': ' " AppFo~al is valid for one year following the date of approval, CPJ:cw stc 33,.. 3330 December 1~, 197~ S~b~ec~: ~30 Happy Lane of a ne~ absorption fteld. L~/1Jh ·qLNI IH // Department of Environmental Quality ~ 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Y~~'~ , ~'~¢~~ Time of Inspection _.~ ¢~' ~--~ __ ~ / / Date of Inspection~ //~ ¢~ ~ IN~IDUAL SEWER & WATER FACILITIES ---' 1-:-'~pproval requested by: ,~m ~ ~.~ / Mailing Address: 2. Property Owner: ~j~ Mailing Address: 3. Legal Description: 4. Location: ~J~ 5. Type of facility to be inspected No. of bedrooms 6. Well Data: A. Type C. Construction 7. Sewage Disposal System: B. Depth D. Bacterial Analysis A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Sept-ic tank , Absorption area , Sewer Lines __., Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page I of two pages MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 -- 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV __ 2. Property Owner: I\ Mailing Address~ '~' f~-~,~/l¢~:.~ cxF.~,12 May Phone ~x~ / i .... f . ,~ Mailing Address: '¢- ~'.~" ~<--'~¢ ,¢' ~ ~ /'<~(t¢,~< ,,')'~) Day Phone ':x., , --,' 4. Name of Lending Institution: Mailing Address: ¢ Ph/one J4 /- ;--' ix; -- Name of Rea[toro, Agent: "h.~.~';/,',j/.~"(~;(..~-..;, ~'.u;*.~? y~,~~r?~, Mailing Address: ',~ - - .. (..x. ,~'='~ /~.,.~¢/~/b':~ Phone Legal Description Loc~-~ion: [/ / 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 / ~ Individual (on-site) EQ-037 (1/74) rpaJe 2 of two pages - Req'~,t for Approval of Individual S~-~r & Water Facilities Leg. al De'scription ~'/~ /~ ~/ ~L~/ /~;/~/ /~/~-)~/ ~ ~/~ ~ Comments Approved Disapproved ~.~¢~ Date Approval Valid for one year from date ~ned 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) STATUTORY WARRANTY (Tenancy by the The Grantors, FiANK C. PC~,T and ~AR~A~{ J. PCRT, husband and wife, Farsuaut to Section ~.I5. O50, Alaska Statutes i972, for an-~ in consideration of the sum of T~o Thouneands Dollars and other _~oo~ au~ valueble cousideretic~ ~.hc receipt of which is here%y acknowledged, convey and warrant to GARY ~. ~nd SP~.RRY L. RCGERS! husband and wife, as tenants by the entirety ~itb tbs right of survivorship, Grantees, the followiuz described real estate eituats~ in the Anchorage RecordiuE District, Third Judicial District, State of ~hek~ to-w it ~ A portion of the South one-half (SL/2) of the Northeast one-quarter (NEL/~) of the Northwest one-quarteF (NWL/4) of the Northeast ons-querter (NEL/~) of the Northwest one-quarter (k~L/4) of Section 55~ Township 15 North, Range 5 ~eet,. Seward Meridian, Anchorage Recordiuz District,' Third Judicial District, State of Alaska, more l~articularly diecribsd as follows: Beginning at the one-quarter corner common to .Sections 28-audi55 of s~id T6wnahin and Ran~: thence North 89~57' West 659-54 fe~t to a point; thence South 0°07~ R~st 529.68 feet to a point; thence North 89057' West ~7o00 feet to a point: said point betn~ the true point of be~innin~ of tbs Tract to be hereinafter described; thence North 89°~7' West ~.00 feet to a point; thence North O°07'-West I64o84 fee; to a point; thence South 89°~?' East ~o00 feet to a point; thence.. South O°0?' East I64.84 feet %o the true point~ of beginninE; ~JBJEOT TO exietinE easements, restrictions and reservations of record, if any. DATED this . I6tb day of.uOctober., I972o //~/ Frank O. Port Barbara J.~rt The Grantors, ¥~5K< C. PORT and BARB.~?~. J. po..wF, siEn over all there reserves that the Veterans Administration are holding to: GA~ D. ROGERS and SHERRY L. ~DGEP$. GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received December 16, 1975 Time of Inspection Date of Insoection REQUEST FOR APPROVAL OF [NDIVIDUA, L SEWER '& ~"W/~TJER!ok~O~Y~-'i. FACILITIES Approval requested by: Peop]~;s'Bank and Trust Company Mailing Address: Pouch 7007, Anchorage 99510 Phone: Property Owner: Frank C & Barbara J. Port Phone: 279-7511 ext. 42 Mailing Address: 3. Legal Description: 4. Location: L_o_t..]~_6_..,S_l./.2 NE 1/4 NW 1/4 NE 1/4 NW 1/4 Sectio~ 33 4430 Happy Lane 5. Type of facility to be insaected Single 6. Well Data: Individual A. Type C. Construction 7. Sewage Disposal A. Installed C. Septic Tank: D. Seepage Pit: l. E. Disposal Field: 8. Distances: Family No. of bedrooms 3 System: On-site 1. Size Absorption Area Total len§th of lines B. Depth 1 00' D. Bacterial Analysis system. B. Installer 2. Manufacturer 2. ~aterial A. Well to: Septic tank Nearest lot line 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 1 of two pages · 1. Type of Inspection: 2. Property Owner: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVJRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 -- 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ]~NVIRONMENTAL PROTECTION DEC j 6 1975 RECEIVED CMRO VA FRANK C. & BARBARA J. PORT FHA CONV X Mailing Address: Name of Buyer: Day Phone DAN THOMPSON & ROBERT HARTIG Mailing Address: 4, Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Mailing Address: Day Phone PEOPLES BANK & TRUST COMPANY Pouch 7007 Phone METROPOLITAN REALTY--Alice Hartig 279-7511 Ex. 42 523 West 8th Avenue Phone 274-1631 Legal Description: Lo cat ion: See Attached 4430 Happy Lane~ Anchorage, Alaska Type of Facility to be inspected: Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Private Well & Individual Sewer No. Bdrms. 3 & Septic Tank 100' Individual 1 X Public Utility Individual (on-site) × If Individual, date of installation Unknown EQ-037 (1/74) Page 2 of two pages - Re~-~st for Approval of Individual F~'~r & Water Facilities . LegB1 Description S 1/2 NE 1/4 NW 1/4 NE 1/4 NW 1/4 Section 33 T13N R3W of Lot 6 Seward Meridian Comments Approved Greater Anchorage Area Borough, Department of Environmental Quality Approval Valid for one year from date si ne~d 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)