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LOT 4
LOT 5 1
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11 A�-ENGHftORctW T E=T
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N LOT 3
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ANCHORAGE RECORDING DL4TRICT, ALAS"
AS-BUD.T OF'e
BROADWATER HEIGHTS SUBDIVISION
LOTS 3 & 4 PLAT 71-156
SURVEY CERTIFICATE y.foimL. Sch na,Have comlucmde
physical survey of dtk pmpetty m shown m this dmwiog and dw 0e
tmptovemmts elmazed hemon me widdn tha'pmpetly ltm and oo
mcbroeehm au mdetotherdmmmd. Underm eLatmmmwshould
my mtbwmbnm d& drmymgbouwdmrcrosaucdov off000es.
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EXCLUSIONNOTE$;Itmtheo mponm'h9itymdatvmima
the wdekaca ofmy ememam%covaoaw , a T.Sw donswhieh
do not appear on ffie mcmdod n<visim pbL
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LOT 2
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p�ofum nol � (907) 227-1465 of8es
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a
o
LOT 5 1
I
E,—"35
11 A�-ENGHftORctW T E=T
196.56'
1483-16'00"F
Z
N LOT 3
� o_
f
•MT
N- (tvo)
N81
25
25
ANCHORAGE RECORDING DL4TRICT, ALAS"
AS-BUD.T OF'e
BROADWATER HEIGHTS SUBDIVISION
LOTS 3 & 4 PLAT 71-156
SURVEY CERTIFICATE y.foimL. Sch na,Have comlucmde
physical survey of dtk pmpetty m shown m this dmwiog and dw 0e
tmptovemmts elmazed hemon me widdn tha'pmpetly ltm and oo
mcbroeehm au mdetotherdmmmd. Underm eLatmmmwshould
my mtbwmbnm d& drmymgbouwdmrcrosaucdov off000es.
�,=;wovemcmwforeswbh* gboundwyli
EXCLUSIONNOTE$;Itmtheo mponm'h9itymdatvmima
the wdekaca ofmy ememam%covaoaw , a T.Sw donswhieh
do not appear on ffie mcmdod n<visim pbL
Fm ,�, zma "GVOr®ao.
19-010 u wmzsa 11 1 1
�f rn
� w
C f
C9
�f
I
Ll
II I
4
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OR IO CDW
l
LOT 2
0=FOUNDREEAR
JoF`a .1115, s yew LAS Day
:s 1 N,rS4��
.........................:....
b. ..
N 0
m OHN L SCHULLEIi:'
I3-!9498
°a •'`2.•.i3•.Mj'. 6y'�/ l haureptu d&na s 9 e
p�ofum nol � (907) 227-1465 of8es
�`���� (907) 274-4892 fns
Sep 13 19 12:1:3p
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atar� a6g«n
Mea,
90724 �.C'42
0eveI,OPMe ct Services Departmeni'
Building scfpty Divrst®n
Wat r 4 Writ water Procgraiu
4700 i~Imo^2 Road
'.0, Sox 196650
Anchorage, A K 99507
tV,?JW.Y..ut CCr,7/O11SItP.
(907) 343-7?04
PuMp Installation .o
VAell'ur""39 Permit INUx ber: S
Parcel cafa� i11mber: 05b
Legal Description
PUMP lustallatiar. Dare;
p"tzp Intake Depth B,,
jr, !.'np of %?j,ell casin,.2_ �? feet
Puzmp hlanufacinrac's Name: ` '
Punep �izc 57�/ hp
i'itles5 rlCt&gStL'C Iilil'l3f.t DCRti1:
Date of Issue:
P�ro!Perst OwnerName ur -Address"
0 0 uo
K �, /
Pitless adapter Manufacturer's Name: y'�C C�� ; z1� .,,�,•.
Pitiess :s�dapter Instatter:.�j,;
�Velf I)Uinfeeted U'pon Con3pletiot,ey 'y
de:ihad of Wsinfectiur,:
Comments.
Pump Instaliea' Name
i i l ; f ` i �� � 4�'f �./(/i �� 1st` �^' /� = �• 1'r.�
Mention: Tile�
P.1n1
P ' . 1!!c� a_11er shall provide a curnp .7StG-!la_6M log to the DSD within 30 days ofpLmp j,
Eagle River Area
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
"C" Street, Anchorage, Alaska 99503 274-4561
Date Received February 10, 1976
Time of Inspection
Date of Inspection ~-
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Cony.
1. Approval requested by: Alaska Statebank
Mailing Address: 310 East Northern Lights Blvd. Phone: 279-7637 x 36
2. Property Owner: Michael W & Norma I. Mc Cormick Phone: 279-9422
Mai 1 i ng Address: Skyline Drive
3. Legal Description: Lot 3 Tract 1t Broadwater Heights Subdivision
4. Location:
Skyline Drive
5. Type of facility to be inspected
6. Well Data: Individual
A. Type
C. Construction
Sewage Disposal System:
A. Installed
C. Septic Tank:
D. Seepage Pit:
E. Disposal Field:
Distances:
1. Size
1. Absorption Area
Total length of'lines
Single Family
No. of bedrooms
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
B. Depth
D. Bacterial Analysis
On-site system.
B. Installer
2. Manufacturer
2. Material
, Absorption area
, Other contamination
, Absorption area
, Sewer Lines
C. Absorption area to nearest lot line
EQ-034 (1/74) Page I of two pages
1. Type of Inspection:
2. Property Owner:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street, Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
February 4, 1976
Ml ,,,,~ .i, ,' ,ill Y (L: ,.t',bl(?t IC)i~Ad;fi
l';!, '\:,i?, i!i' ()i i':; ,"d ii ,"~
CMRO VA FHA
MC CORMICK, Michael W. & Norma I.
CONV XXX
Mailing Address:
Name of Buyer:
Skyline Drive
N/A
Day Phone 279-9422
Mailing Address:
4. Name of Lending Institution:
Mailing Address: 310 E.
5. Name of Realtor or Agent:
Mailing Address:
Alaska Statebank
Northern Lights Blvd.
N/A
Day Phone
Phone 279-7637 ext. 36
Phone
Legal Description: L3, Tract 11, Broadwater Height~
Location: o~ Skyline Drive in Eagle River; AK
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply:
Single fnmtly r~.~id~nr~
No. Bdrms. 2
Public Utility
Individual XXXX
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) XXXX
EQ-O37 (1/74)
Page 2 of two pages - Re
Legal Description Lot 3
~st fot
Trac~
Approval of Individual 'er & Water Facilities
11 Broadwater Heights Subdivision
Comments
Approved
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
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)