HomeMy WebLinkAboutPALOS VERDES BLK 5 LT 14
APPLIC[ FILLS OUT UPPER HALt )NLY
Pr°pe/O~--~vner -~¥ z~'"']D PJ~,'~,~ ~]~'~v~S Phone
~" ~, ~' ~ 130 Me~dow Creek ]~ive, F~gle ~ver, Alaska 99577 none
l,-Maillng Addre~ Zip Code
Buyer ~C]~d
Address Zi~ Code
Lending Institution ~N~ [,{0~ Phone
~. O. ~ox ~0-~00
Address ~ ~ ~3~ ~q3~ Zip Code
Realty Co. & A~nt ~O~S ~ ~STA~ - t~ ~oeh~e~ Phone
~. O. ~O~ 279, ~ A~Mm 99567
Address Zip Code
Legal Description
Street Locati~
Type of Resi~nce
~Single Family
~ Multiple Family No. of Bedroo~ 4
~ Other
Water Supply
~lndividual~ A~ACH WELL LOG. A w~l Icg is required for all wells drilled Since June 1975.
~'Community ~ ~ /~ For wells drilled prior to that date, give well depth (attach Icg if available).
~Public Utility
Sewer Disposal
~ Individual ~ ~ ~ Year Individual Installed:
~ Public Utility ~ ~ ~ When Connected to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED.
Time Time Time Time
Date Date Date Date
Inspector Inspector Inspector Inspector
MUNICIPALITY OF ANCHORAG,E
Field Notes: DEPT, OF HF~,~,LTH
ENVIRONM2NTAL PROTECTION
NOV 2
RECEIVED
) APPROVED BEDROOMS *CONDITIONS OF APPROVAL
( ')-"" ')~DISDISA P PR OV E D
(
( ) CONDITIONAL APPROVAL*
DATE t ~- --~ CD
Soils Rating Date Sewer installed Well To Absorption Area Well Log Received
Well to Tank Septic Tank Size
72-023 (3182)
~3ary and pamela i-ieri~es
130 i'.ieado~,~ Creek
Ea~31e it(vet, AK 99577
SuD3ect: Lot ].4~ ~3tock b, Palos Verdes ~;~bdivlsion
Approval ~or tile i[l(iividual sewer and water ~aciliLiei5 ca~'inot
be ~3ranted until tile followin{~ (texas ilave been completed:
The State o~! Alaska's l)epart~nt o~ Environ:~ental
Conserva~.ion cannot al}prove the cormnunity %;eli until the
sa~l[)ling schedule is current. Please contact, their office
at 274~2533 ~ior their instructions.
Please notify this ~3e~}artment ~or a reinspection when
noted discre[~ancies ~ave been corrected. If there are any
~urttler ~tuestioas, please call this o~fice at 264-4720.
Sincereiy ~
Cory %~,~illis, K.~3~
Actin~D ~ewer & %~ater
Pro.~ram ~a~%a~,~e r