HomeMy WebLinkAboutMEADOW BROOK Block 6 Lot 17
MUNICIPA[~ITY OF ANCHORAG
DEPARTMENT ,,F HEALTH AND ENVIRONMENTAL PROTECTION
825 L Street, Anchorage, Alaska 99501
5 279-2511,_~ ext. 224, 225
..,¢'m "~a ~q Date Received: April 6,
1st Inspection: Time
Date
Inspector
1977
2nd Inspection: Time
Date
Inspector
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request: Security Pacific Mortgage
Mailing Address: 101I East Tudor Road, Suite 190 Phone: 276-1933
Property Owner:
Mailing Address:
3. Legal Description:
Sound Construction
Phone: 694-245~0
Box 893 Eagle River 99577
Lot 17 Block 6 Meadowbrook Subdivision
4. Single Family Residence: (x) Number of Bedrooms: 2
Se
Multiple Family Residence: ( ) Number of Bedrooms:
Well Data: Type I4~d. ividua, l-- ~
Construction ~zI,~c¢_/~ Bacterial Analysis
Sewage Disposal System: On-site system ( ) Public Utility
Permit II ¢Q''~73. In. led _~ Installer
Absorption Area % u/ -~oils Rate Material
Well Log File~//~'
(x)
Absorption Area to Nearest Line
Page Two
Department of Health and Environmen-hal Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 17 Block 6 Meadowbrook Subdivision
Comments:
Affadavit Attached: ( )
Disapproved
Letter Attached: ( )
/
Date:
Department Worksheet:
MUNICIPALITY OF ANCHORAG2
~.dNIOIPALIT¥ OF ANCHORAGE DEPT, OF HEALTH &
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTEC:TIOIf]NVjRON'~v~EN[AL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 APR ,~ 1977
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES RECEIVED
1. Type of Inspection: CMRO
Sound Construction
2. Property Owner:
VA FHA CONV.xx
Box893 Eagle River
Mailing Address:__
DayPhone:.694 2450
3. Name of Buyer: Thomas Williams
Mailing Address: 30-310 C~erzsr Dr. Anchorage - Day Phone:
4. Name of L~ndinglnstitution: Security Pacific Mortgage Corp
Mailing Address: lO11 E Tudor Rd An ehorage
5. Name of Realtor or Agent: Executive Realty
Mailing Address:__2810 C. St
6. Legal [~escription:_ Lot; 17 Blk 6 Meadowbrook
Location: NHN Goodpaster Drive Eagle River
752 5409
Phone:, 9Z6 ].933
Phone:_ 276 7777 ,
s fr
No. Bdrms... 2
Public Utility xx
_Individual xx
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 unknown
9, Sewage Disposal System
Type of System:
If Individual, date of installation
Individual (on-site)
72-003(3/76)
