HomeMy WebLinkAboutT13N R3W SEC 22 Lot 2 of 37
~~"~"~~ [330 "C"
1. Approval requested by:
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
Street, Anchorage, Alaska 99503 274-4561
Date Received February 25, 1976
Time of Inspection' ~.Z~ ~w)~c
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
v,ao
Mailing Address:
Property Owner:
Mailing Address:
Legal Description:
Location: 2422
Dan A. Loy
Post office Box 8897, 99508
T13N R3W Section 22 Lot 2of 37
Glacier Street
Phone:
Phone: 333-6403
Type of facility to be inspected Duplex
No. of bedrooms 4
6. Well Data: Public Utilty
A. Type
B. Depth
C. Construction
Sewage Disposal System:
A~ Installed
On-s9te
8.
D. Bacterial Analysis
Installer
C. Septic Tank: 1. Size /~-0
D. Seepage Pit: 1. Absorption Area
2. Manufacturer ~
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
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
Mailing Address: /,~&
VA/ FHA CONV.__
Day Phone
3. Name of Buyer:
Mailing Address:
4. Name of Lending Institution:
Mailing Address:
5. Name of Realtor or Agent: /t/YT-xbP,
Mailing Address:
Day Phone
Phone
Phone
Legal Description:
Location: 2 q~..~O~.~ ~:fL~.~)~,,¢/~ ~-?-.
Type of Facility to be inspected: .~%T/¢ 5d~?~ ~,Z~",~-',,,,
Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently served
No. Bdrms.
Individual
If Individual, depth of well
Sewage Disposal System
Type of System:
Public Utility
If Individual, date of installation /c~?-~v?
Individual (on-site)
EQ-037 (1/74)
Page 2 of two pages - Re~'~st for Approval of Individual
,-Legal Description T13N R3W Section 22 Lot 2 of 37
er & Water Facilities
Comments
Approved~//~/~? Disapproved Date ~-/~..~
~roval Valid for one year from date signed
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)