HomeMy WebLinkAboutT13N R3W SEC 23 W2 S2 NW Corner SW Corner Section 23
GREATER ANCHORAGE AREA BOROUGIq
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received November
3, 1976
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
CHILD CARE CENTER
]. ADDr0val requested by: Mike Brunat, Health & Environmental Protection
Mailing Address:
Property Owner:
Mailing Address:
Immanual Presbyterian Church
Northwind Cooperative Preschool
2311 Biniface Parkway
Phone:
Phone:
333-5253
3. Legal DescriDti0n: W½ S½ NW corner SW corner Section 23 T13N R3W
4. Location:
5. Type of facility to be inspected
6. Well Data:
Individual
A. Type
C. Construction
Sewage Disposal System:
A. Installed
C. Septic Tank: 1. Size
D. Seepage Pit: 1. Absorption Area
No. of bedrooms
B. Depth
D. Bacterial Analysis
Church
On-site system
B. Installer
2. Manufacturer
2. Material
, Absorption area
E. Disposal Field: Total ilength of lines
Distances:
A. Well to: Septic tank , Absorption area
Nearest lot line , Other contamination
B. Foundation to Septic tank
C. Absorption area to nearest lot line
, Sewer Lines
EQ-034 (1/74) Page 1 of two pages
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection:~ CMRO. VA ~ FHA__~__~CONV
2. Property Owner' ,~¥v~,~ ~)~_~~,~(~
MailingAd~ress: ~'~'~/! ~/~z~_~-'-~
3. ~,~[~m~r ~,~/~l~/L~.~'~;'
Mailing Addres, s: Day Phone:
4. Name of Lending Institution:
Mailing Address: Phone:.
5. Name of Realtor or Agent:
Mailing Address:
Legal Description: ~//
Phone:
Location:.
7. Type of Facility to be Inspected: 4~'~-~ _.
No. Bdrms.
8. Water Supply
Type of Supply:
Public Utility.
Individual
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System .~_C~~
Type of System: Public Utility
Individual (on-site)
If Individual, date of installation
72-003(3/76)
Page 2 of two pages - Re~'~st for Approval of Individual .~er & Water Facilities
L~gal Description W~ S½ NW Corner SW Corner Section 23 T13N R3W
Comments
Approved
Disapproved Date
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 a'nd
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
EQ-034 (1/74)
Date
