HomeMy WebLinkAboutT13N R3W SEC 33 S2 NE4 NW4 NW4 (Lt 6 PTN?)Fi3c�
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GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received January 20,
1976
Time of Inspection c~;~,,'~ ,~.,~
Date of Inspection~x.L~. /c~
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
ConY.
l. Approval requested by:
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Mailing Address:
Property Owner:
Mailing Address:
William H. Stribling
Post Office Box 4-1104, 99509
Phone:
Phone:
279-4481 x 292
Legal Description: S½ NE¼ NW¼ NW¼ Section 33 T13N R3W S.M.
Location: 1 block off Tudor onto Wright Street, down private drive
Nooshnik Drive, last house on dead end.
Type of facility to be inspected Single Family No. of bedrooms
Well Data: Individual
A. Type ~x
C. Construction
B. Depth
D. Bacterial Analysis
7. Sewage Disposal System: On-site system.
A. Installed Unknown B. Installer
C. Septic Tank: 1. Size /~5'-d) 2. Manufacturer ~--
D. Seepage Pit: 1. Absorption Area 2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic 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 1 of two pages
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.REATER ANCHORAGE ARE. BOR / GH
3330 "C St., Ancl~o~age, A,laska 99;03 - ~. -D~'W~2rML'NTOFHEAI.TH&
ENVIRONMENTAL PP, OTECTIOI~
REQUEST FOR APPROVAL OF JAN ; 01976
INDIVIDUAL SEWER & WATER EACILITI'ES
RECEIVED
VA FHA CONV ×xxxx
Typ.e of Inspection: CMRO
Property Owner:
Mailing Address:
Name of Buyer:
Mailing Address:
William H. 8tribling
P.O. Box 4-1104 99509 __Day Phone 279-4481 ext 2192
Donald R. Holtz
4300 Arctic Spc. 26 99503 D_~_y Phone 279-2749
4. Name of Lending [nstituti0n: (no lender)but probably Home Federal
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Mailing Address: "G" Street Phone
Name of Realtor or Agent: None
Mailing Address: Phone
Please
return no Vera Stribling c/o First Natl'Bank P.O. Box 720 99510
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Legal Descriotion: ATTACHED turn right
Locati on: 1 blk. off Tudor Road on Wright St.
7. Type
8. Water Supply
Type of Supp.ly:
I~ Individual,
If Individual, deFth of well 118'
9. Sewage Disposal-System
Type ,of S~stem: Public Utility
turn right on private road (Nooshnik Dr.) last house on dead end.
(lmght grey nouse-pmn~ trim-redwood ~ence)
of Facility to be inspected: Home NO. Bdrms, 2
Public Ui:ility Individual XXXXXX
number of dwellings ~resently served 1
cased with subm. pump.
If Individual, date of installation
old septic tank (original) replaced with 1200 gal fiber glass
2nd log~ behind glass tank inspected and in good condition
Individual (on-site)
date aprox.
.~5 yrs. ag~
Page 2 of two pages - Re~.'st for Approval of Individual '~-~er & Water Facilities
~-~--Legal Description Sl/2 NE¼ NW¼ NW¼ Section 33 T13N R3W S.M.
Comments
Approved
Approval ~Valid for one year from date si~nj~d
Greater Anchorage Area Borough, Department of Environ'Siental Quality
DIAGRAM OF SYSTEM
certify h~a t"
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.
EQ-034 (1/74)