HomeMy WebLinkAboutT14N R2W SEC 11 Portion of Lot 57 & 69LoT
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
,~ · ~ Date Received April 26__~, 197_~6
~ . n A'~ / ~ Time of Inspection g.'~m.
m_.~ ~ .,~ ~ Date of Inspection ~-/~-~/m
%-J' REQUEST FOR APPROVAL OF ;a,
~NDIVIDUAL SEWER & WATER FACILITIES
FOR
Cony.
1. Approval requested by:
Mailing Address: Post Office Box 1120, 99510
2. Property Owner: Ralph and Nancy Bowers
Mailing Address: Route Box 85, Eagle River
Alaska Mutual Savings Bank
99577
Phone: 274-3561
Phone: 694-2561
~,<,;~14N, R2W Section 11 Portion of Lot 57 and 69
Legal
Description:
Location: ~-,. '2~,zle Eagle River Road
Typ~e,,o,f~<facility to be inspected Single Family
Well'Data: Individual - serving one
No. of bedrooms 4
A. Type B. Depth
C. Construction
D. Bacterial Analysis
Sewage Disposal System:
A. Installed
C. Septic Tank:
D. Seepage Pit:
On-site system
B. Installer
1. Size /~1,~ 2. Manufa~turer
!
1. Absorption Area ~~. Material
E. Disposal
Distances:
A. Well to:
Field: Total
Septic tank
length of lines
~/ ,'Absorption area
?~ r , $~er Liner/ //,
Nearest lot line
, Other contamination
B. Foundation to septic tank
C. Absorption area to nearest lot line
, Absorption area
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
~,AUNICIPAt,ITY OF ANCHQf!AGl:
.ENV/,EON)vIENL~,i ~:'~ C~i FCTION
1. Type of Inspection: CMRO VA FHA
CONV Xzx
2. Property Owner: Ralph and Nancy Bowers
: Mailing Address: Rt Box 85 Eagle River
Day Phone
694-2561
3. Name of Buyer: Same
Mailing Address:
4. Name of Lending Institution: Alaska Mutual Savings Bank
Mailing Address: P.O. Box 1120 Anchorage, Ak
9951O
5. Name of Realtor or Agent: None
Day Phone
Phone 274-3561
Mailing Address: Phone
6. Legal Description: Portion o: Lot 57 and 69 Sec 11 T14N R2W S.M.
Location:
1/2 Mile Ea~le River Road
Eagle River. Ak 99577
Sin~lm Fami].y
No. Bdrms.
Individual XXX
xxx
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
Individual (on-site)
EQ-037 (1/74)
Page 2 of two pages - Re~--~t for Approval of Individual '~r & Water Facilities
L~al D%scripti0n T14N R2W Section 11 Portion of Lot 57 and 69
Comments .
Approved is pproved Date ~l~-T&.
Approval 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 operatin9 satisfactorily.
SIGNED
Date
EQ-034 (1/74)