HomeMy WebLinkAboutT13N R3W SEC 26 Parcel 20
(~({~l~i I)~) GREATER ANCHORAGE AREA BOROUGH ~'~k}/r~
Department of Environmental Q~ality ~'~y~]O
~ ~ 3330~ge, Alaska 99503 274-4561
~ ~ , ~ ~ /~,' / Date Received ~a~ 1~,
. ~'~-q , ~ ~ ~ ,~ ~'l~ Time of Inspection /~
~A ~;~--~ '~'~' Date of Inspection ~-~
~~ REQUEST FOR APPROVAL OF 2~X
~ ~ ~ INDIVIDUAL SEWER & WATER FACILITIES
~ ' FOR
~.~.
I. Approval 'requested by: Coast ~o~tgage Comgan~
Mailing Address: 9o~t o~ce ~o~ Z200, 995Z0 Phone: 279-0665
2. Property Owner: ~onald D. ~ba~p Phone: 337-2836
Mailing Address: 3516 9atte~so~ Street
3. Legal Description: ~i~ ~3~ ~ectlon 26 ~a~cel ~0 ~1t51~ ~
4. Location: 3516 9ette~on Street
5. Type of facility to be inspected ~i~gle ~amiZ~ No. of bedrooms
6.
Well Data:
A. Type
Individual
C. Construction
7. Sewage Disposal System:
B. Depth 175'
D. Bacterial Analysis
A. Installed 1974
C. Septic Tank: 1. Size
D. Seepage Pit: 1. Absorption Area
On-site system
B. Installer
2. Manufacturer
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
C. Absorption area to nearest lot line
, Absorption area
, Other contamination
2. Material
, Sewer Lines ,
, 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
INDIV, IDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO VA X FHA
2. Property Owner: R~.Trl D.
Mailing Address: 357g
3. Name of Buyer: ¢,e~.41
Mailing Address: ~2]1 "~"
4. Name of Lending Institution:
Mailing Address: P_O. 1~o~' "~pon A~h~-.~
Name of Realtor or Agent: ~f~m~.~+.n.~.~ ~nn.l~%
Mailing Address: 517 W; Nn~h~ T.~
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
MAY ;2
RECEIVED
CONV __
Day Phone 337~839
Day Phone 863-!!93
Phone ~79-n~5
Phone o7~-35!3
6. Legal Description: Pa:coel 20 ~itbi~ ~-~. S 26~ ~ 1~ ~¢ R ~¢ BM
Location: 3~16 P~tter~on S~reet Anohora~n AI~.~. 99504
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
Tvpe of System:
If Individual, date of installation
175 ~EET
Public Utility
1974
No. Bdrms. 3
Individual X On-site
OI~IE
Individual (on-site) X
LQ-037 (1/74)
Page 2 of two pages - R(~st for Approval of Individual~--~er & Water Facilities
Legal Description T13N R3W Section 26 Parcel 20 within NE½
Comments
Approve~ Disapproved Date
Appr~l~Valid for one year from date signed
Greater Anchorage Ar6a 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)
GREATER ANCHORAGE_ AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99507
279-8686
DATE RECEIVED:
INSPECT: ~'- /.~"
TIME: ,~:
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER AND WATER FACILITIES
FOR
APPROVAL
REQUESTED
ADDRESS:
PHONE:
LEGAL
NUMBER OF BEDROOMS:
WELL DATA:
A. TYPE
B. DEPTH
C. SIZE
D.
I~5 ~'
&'~ C~ ;~ . :v?,¥,~.~/~,,~-~o,-s
BACTERIAL ANALYSIS
6. SEWAGE DISPOSAL SYSTEM:
Ao
(IF
SEPTIC TANK
1. SIZE
2.
AGE
3. MANUFACTURE~
4. INSTALLER
HOMEMADE, SHOW DIAGRAM ON BACK)
!
7~
APPROVAL REQUEST FOR SEWER & WATER FACILITIES
PAGE TWO
SEEPAGE PIT
1.NNNSiZE ~
1. NUMBER OF LINES
2. TOTAL LENGTH
MEASUREMENTS
TO SEPTIC TANK
TO SEEPAGE PIT
WELL TO SEWER LINE
REQUIRED
A. WELL
B. WELL
C.
D. WELL TO PROPERTY LINE
E. WELL TO OTHER POSSIBLE CONTAMINATION
F. FOUNDATION TO SEPTIC TANK
G. FOUNDATION TO SEEPAGE PIT
H. SEEPAGE PIT TO PROPERTY LINE
COMMENTS:
APPROVAL ~ALID FOR ONE YEAR FROM DATE SIGNED.
GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY