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Home My WebLink AboutBURLWOOD TERRACE BLK 23 LT 2O0't APPLIC'NT FILLS OUT UPPER HA' ' ONLY Property Owner r~R,~,~ ~,,~--~/, .~..,5.~%¢.,~ Phone Buyer ~ z~ co~ Address Lending Institution ~C ~ ~ ~~- ~ Phone Address ~ ~ ~O Realty Co. & A~nt ~ Phone Address Zip Code Legal Descript~n ~0~ Type of Resi~nce ~ Single Family ~ Multiple Family No. of Bedroo~ ~ Other Water Supply ~ Individual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date, giVe well depth (attach log if available). Sewer Bisposal ~ Individual Year Indiv~ual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION ~E MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION RECEIVED (1~2~) APPROVED BEDF1OO~$ 'GONDITION$ OF APPROVAL ( ) DISAPPROVED Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size 2-023 (3/821 ALASKA dlROFImI F1TAL CONTROL SErvJICE$, IFIC. Enqinecrin9 6 Enuironmenlol Stucmics June 6, 1983 Municipality of Anchorage Department of Health & Environmental Protection 825 L. Street Anchorage, Ak. 99501 Re: Health Authority On June 3, 1983 our company collected a water sample from the house located on Lot 2 Block 23 Burlwood Terrace Subdivision. The water analysis was satisfactory. The well has a seal and the casing stands approximately 2.25 feet above the ground. The results of the bacterial test for the water is attached. Sincerely, Engineer Technician 1200 U Jest 33rcl Aucnue, $uit¢ [~ · Anchoro(l¢, Alaska 99503 · (907) 276-1361 .......... ~/ DA ~'~'~R ECE IV E.-D INSPECTION APPOINTMENTS ~, TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH & 825 L Strut - Anchorage, Alaska 99501 ENVIRONMENTAL PROTE~ION ENVIRONMENTAL~ANITATION DIVISION NOV 1 0 1981 Telephone 264~720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW~ ~~ D DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be proc~d. Please allow ten (10) days for processing. 1. PROPER,YOWNER~ ~ PROPERTY RESIDENT (If different from above) ~ [ PHONE 2. BUYER ~'~ ~ PHONE MAILING ADDRESS 3. LENDING INSTITUTION ' PHONE MAILING ADDRESS ~~ ~' 4. REALTOR/AGENT PHONE MAI LING ADDR ESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE [] Other [] SINGLE FAMILY E~ MULTIPLE FAMILY NUMBER OF~BEDROOMS [--lOne ~[~F~Jer [] Two [] Three [] Six 7. WATER SUPPLY I NDIVIDUAL* COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** [~PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE [--I PUB LIC UTILITY Connection Verified []Septic Tank or [] Holding Tank Size: If Tank is homemade give dimensions: NUMBER OF BEDROOMS [] ONE [] THREE [] TWO [] FOUR PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Absorption Area to nearest Lot 5. COMMENTS [] FIVE [] SlX [] OTHER ;Septic/HoldingTank [Absorption Area lSewerLine JNearest Lot Line DATE ~APPROVED FOR' .~ BEDROOMS [] CONDITIONAL APPROVAL (lette~/~ust~ccompany certificate) [] DISAPPROVED 72-010 (Rev. 6/79) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received February 28, 1977 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. l. Approval requested by: First National Bank of Anchorage % Mary Ann Dodge Mailing Address: Post Office Box 720 Phone: 276-6300 x 572 '2. Property Owner: Eugene C./Patricia Warner Phone: 333-2281 Mailing Address: 3913 Boniface Parkway 277-6551 x 333 3. Legal Description: Lot 2 Block 23 Burlwood Terrace Subdivision 4. Location: 3913 Boniface Parkway 5. Type of facility to be inspected Duplex 6. Well Data: A. Type Individual C. Construction . , 7. Sewage Disposal System: A. Installed C. Septic Tank: 1. Size D. Seepage Pit: E. Disposal Field: 8. Distances: A. Well to: Septic tank Nearest lot line No. of bedrooms B. Depth D. Bacterial Analysis Public Utility B. Installer 2. Manufacturer 1. Absorption Area Total length of lines , Absorption area , Other contamination 2. Material · Sewer Lines , Absorption area B. Foundation to septic tank C. Absorption area to nearest lot line 4 total EQ-034 (1/74) Page 1 of two pages MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION -EB 2 8 RECEIVED 1. Type of Inspection: 2. Property Owner' Mailing Address: 3. Name of Buyer: Mailing Address: 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Mailing Address: 6. Legal Description: Location: CMRO VA WARNER, Eugene C. & Patricia 3913 Boniface Parkway None FHA Po Oo Day Phone: CONV x 333-2281 or 277-6551 x333 Day Phone: The First National Bank of Anchorage Box 720 Anch. Phone: 276-6300 x572 Phone: None Lot 2, Block 23 Burlwood Terrace 3913 Boniface Parkway 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 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation Duplex No. Bdrms. 2 & 2 Individual Well Individual (on-site) 72-003(3/76) Mary Ann Dodge 2/24/77 Page '2 of two.pages - Rec it for Approval of Individual S ~.r & Water Facilities legal Description Lot 2 Block 23 Burlwood Terrace Subdivision Comments Disapproved Date ~- Approval .Valid for one year from date signed 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) Aoproval Requested Address ~ Prooertv Owner-: ....... GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality ~',330 "C" Street, Anchorage, Alaska 99503 FOR Location: ~ 9/ ~ ~ Number of Bedrooms: ~el~ Data:~ A. Type ~ C. Construction Sewage Dis9osal System: A. Installed 274-4561 Time of Inspection Date of Inspectton___~//O//Tt~ Depth Installer C. Septic Tank: 1. D. Seepage Pit: 1. Disposal Field: Size 2. Manufacturer Size 2. Material Total Length of Lines Distances: &. t~ell. To: Septtc Tank__ , Nearest Lot Line Foundation to Septic T~nk Absorption Are~ , Sewer Lines · Other Contamination · '~ AbSorption Area · C. Absorption Area to Nearest Lot Line · ~equ~st for Approval of ~ndivt~ual Sewer ~ Wate'r Faeilttt=s Page Two Approva! Valid for One Year From Date Stoned Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the Information contained In this request for appreval to be a true and accurate representation of the sub.iect sewer and water Signed Date GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Date Received Time of Inspection Date of Inspection Approval Requested By: / .... Phone? ?/7 5. Type of Facility to be Inspected: Number of Bedrooms:_. 6. Well Data: ':..? '~'' ~ A. Type ~r~'...!.<'_,~>~-~.-"' B. Depth C. Construction ~ ~ ~...~ :.~_~, . D. Bacterial Analysis 7. Sewage Dis. Oosal System: -.~-~ ': '" · . A. Installed /..!;~:'?~.~ , B. ~. --Septic Tank: 1. olze - 2. D. Seepage Pit: 1. Size 2. Manufacturer ~aterial, ..~, ~ ,'z ~"2: ' .d" E. Disposal Field: Total Length of Lines 8. Distances: A, Well To: Septic Tank , Absorption Area , Sewer Lines , Nearest Lot Line , Other Contamination B. Foundation to Septic Tank Absorption Area C. Absorption Area to Nearest Lot Line · R~'c~]e~t for Approval of Page Two --~ 9. Comments.' ivtdual Sewer & Water A~roved Disapproved Date Approval Valid for One Year From Date Signed Greater Anchorage Area Borough, Department of Environmental Quality DZAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representat¢on of the subiect sewer and water facilities located at: Lu~ ~;, ~iock ~a, uur~woou 'i'errace :;ub.~ivtslon - 3S13 ~or~if,~.e Far~.w~y i;pon your r~ques~ the se~er ~nd water Cactlt~tes servin:, ti~e ab~v'~ loc '~ere inspected bv. ~hls ~a~t~,ent on /',:~t~ ,., I~=I~.~ ~xisttn!:~ ground level. This castn? ~reseJ~tly, public sewer is a~ildble to the lot. 'r~¢refore, se~er f,~ctlity pehUlng the escrow of funds nee~e~ to connect for the above ):~entiuned t~aproveJ, ents. If you ):ave any questions, please contact this officu at 274-4561. Sincerely, r,~~f?lt., Sanitarian I js cc: FtIA