HomeMy WebLinkAboutMAJESTIC VALLEY ESTATES Block 1 Lot 10 Problem Lot
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received Juiy 23,
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
4.
5.
6.
Legal Description:
Location:
FOR
Conv.
First National Bank of Anchorage
Post Office Box 4-2090
James S. Roberts
1976
Phone: 274-1521
Phone: 344-7364 ·
9511 Kavik Street
Lot 10 Block 1 Majestic View Subdivision
9511 Kavik Street
Type of facility to be inspected
Well Data: Public Utility
A. Type
C. Construction
7. Sewage Disposal System:
A. Installed
C. Septic Tank: 1. Size
D. Seepage Pit:
E. Disposal Field:
8. Distances:
A. Well to: Septic tank
Nearest lot line
EQ-034 (1/74)
Single Family No. of bedrooms 3
1. Absorption Area
Total length of lines
B. Depth
D. Bacterial Analysis
B. Installer ~ ~--~/~-
2. Manufacturer
2. Material
B. Foundation to septic tank
C. Absorption area to nearest lot line
e
, Absorption area
, Other contamination
, Absorption area
, Sewer Lines
Page 1 of two pages
MUNICIPALITY OF ANCHORAGE I.~-= ,: ;:. ,
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECJ¢~'~'' '
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL
SEWER
and
WATER
FACILITIES
1. Type of Inspection: CMRO VA
Mailing Address:_ ~- // ~-~¢2 ~/ ,'~× .~
3. Name of Buyer:_ /'~-'~'~ ;/ ,._~4~.~ -~,
Mailing Address: ~ ~.'~ ~ ~. /-.~ ~ It, ,,/p~. /.
4. Name of Lending Institution: ~:;,'.5~ /[/&~ ',,/ /~A~t ~
Mailing Address:_ ~ ~. ~)~t ~('~g
5. Name of Realtor or Agent: ' ,~)o tLq_,
FHA _CONV. ~/
Day Phone:_
Phone:_ r~'7 r I
Mailing Address:
Legal Description: L
Location:
Phone:.
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
No. Bdrms. -,~
rlndividual
Individual (on-site) ,/~
72-003(3/76)
Page 2 of two pages - Re( ~t for Approval of Individual ~ ar & Water Facilities
Description Lot 10 Block 1 Majestic View Subdivision
Comments
ApProved /~~oq~__
Disapproved Date o~/~/~, ~>
Approval~Valid for one year from date signed
Greater Anchorage Ar~a Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I 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)
While You Were Out
AREA COD(
'Tele-~lease
Called to SeeYouC) Will Call AgainC)
Wants to SeeYouO UrgentC)
Returned Your CallO
Message_ . <~..) - ._~. , .
Per ,---
Benchmark® No. 62-272
7/ock ILot
/
IClAL SEI ES
~ Lab No,
A N AL Y S I S OmCE
Analysis shows lhls Water SAMPLE to be:
[] Salisfactory
[] Unsatisfactory
[] Questionable
[] Sample too long in transit; sample should not be over ,18
hours old at examination to ~nd~cate reliable results, Please
send new sample.
[] Bollle broken in transit, please send new sample.
SANITARIAN'S REMARKS
PW-062 (7-74)
WATER ANALYSIS RECORD
ted :pm Lab. No,
.actose Broth 10cc ]0Cc 10cc 10cc 10cc h0cc h0cc
24 Hours
48 Hours ' J
Brillianl Green
24 Hours
48 Hours
ON
REVERSE SIDE
BEFORE
COLLECTING SAMPLE
EMB AGAR
Lactose Broth, 24 hrs.
Coliform Density
MF Results
48 hrs,
Reported by
This analysis indicates Coliform Organisms lo be:
(Most probable No. per 100cc)
Absent
Presenl