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)