HomeMy WebLinkAboutMEADOW BROOK BLK 2 LT 6
oGRr
fER ANCHORAGE AREA BC
Department of Environmental Quality
2330 C Street
Anchorage, Alaska 99503
)UGH
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
MANUFACTURER
MATERIAL
NUMBER OF
COMPARTMENTS
INSIDE WIDTH
LIQUID DEPTH
LIQUID CAPACITY I~D~) GALLONS.
SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL
BUILDING FOUNDATION___
DIAMETER L'I~"~ OR WIDTPII ~''~ ,
LENGTH I')'''' I DEPTH
CRIB SIZE; DIAMETER '~Zt DEPTH DISTANCE FROM: WELL
TOTAL EFFECTIVE
., NEAREST LOT LINE__ ABSORPTION AREA (WALL AREA)
SQ. FT,
ADDITIONAL ABSORPTION
WELL:
BUILDING
FOUNDATION __
CONSTRUCTION
NEAREST
LOT LINE
CESSPOOL
OTHER SOURCES
APPROVED
DISAPPROVED
DEPTH DISTANCE FROM:
NEAREST SEPTIC SEEPAGE
SEWER LINE TANK __ SYSTEM
REMARKS.
DISTANCES:
DIAGRAM OF SYSTEM
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
Form No. EQ-031
EATER ANCHORAGE AREA BOROUGH
ntal Quality
GR . _ f Environme. na~n 274-4561
Department ~ .... ~ Alaska ~v3
3330 "C" street, ancnu'°~' ·
Date Received August 5, 1976
lime of InspectiOn 2:30
8-6-76 Friday
Date of inspection
iqeale
REQUEST FOR AppROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
~ka pacific Bank
Approval requested by: A ~-~--~ ~=------ ~
Mailing Address: ~~~BOX 420
~alp~
property Owner: ~
Mailing Address:
% pat jones
276-3110
Phone:
694-2755
Phone:
. _~. ~ubdivision
6 BlOCk 2
3. Legal Description: LO_~t~ see
4. Location: -------~----
be inspected
5. Iype of facility to
6. ~ell Data: ~ ............. ~ B. Depth
A. Iype O. Bacterial Analysis
C. ConstructiOn
C. Septic 'lank: 1.
D. Seepage Pit: 1.
E. Disposal ~ield:
Sewage Disposal System: on-site system
A. Installed J-~~ B. installer
-- 2. Manufacturer
size ~-----
Absorption Area _~
%otal length of lines /
Distances:
No. of bedrooms _-~
Absorption area
A. ~lell to: Septic tank
other contamination
Nearest lot line __------~ , Absorption area
B. Foundation to septic tank
C. Absorption area to nearest lot 'line
Sewer Lines __---~
page 1 of two page
Page 2 of two pages - Re~ st for Approval of~Individual ~ er & Water Facilities
Legal Description Lot 6 Block 2 Meadowbrook Subdivision
Comments
Approval Valid for one year from date signed
Date
Greater Anchorage Area 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)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECi',)~N
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO VA x/~
2. Property Owner: ~,~, ,ot~, 'kJkJKc ~.',,,~ \/v vvx,
MailingAddress'.~ (~ '~,>~
3. Name of Buyer: '~'- ~ } ~ t ~ (~W'~
Mailing Address:__ ~,
4. Name of Lending Institution:
Mailing Address'._~,(r~),
Name of Realtor or Agent:_
Legal Description:
Location:
FHA CONV
Day Phone:
Day Phone:.
Phone: .~, ( (I '-~-~ lc'~
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply:
Public Utilitv ~><
No. Bdrms. ~
Individual
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
Individual (on-site)
72-003(3/76)