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HomeMy WebLinkAboutUPPER EAGLE RIVER ESTATES BLK 2 LT 1 TO=: ~'"' ~ R ' Florence M Fif. t~h Floor Fourth Floor ESsAGE This has been canceled by the bank and prop. e~~y owner. refinance and they do not need the inspections. Pleaee make the necessary arrangements for a refund. Thank you. ~ SIGNE[ REPLy Receipt ~53751 Carolyn J. Brown 1801 West 48th Avenue 99503 Redif,~'m® 4S 471 SIGNED = SEND PARTS 1 AND 3 WITH CARBON INTACT - PART 3 WILL SE RETURNED WITH REPLY. It is a DATE August 4~ 1979 Charles 1~01 west 4~th Av%~nue .~chora%~e, Alaska 99.~u3 Subject: t~)t 1 Block 2 Upper Eagle River I~stateS Subdivision ~.e s~ptic ~ ~k on the s%~b~ct lot is too clos~ to the existing ~11. It will need to be r~loca~ed fifty(50) f~et away from ~]e ~el!. A 1,250 gallon, two(2) compartment tank must be ~ adequacy test must be ~rfor~%ed by one of %he folloi~,ing If there ara any qllestions, please contact thi~ office at ~64-4720. Sincerely~ San~arian RCP/tJ~ ~zzs~ Natzonal Ban~ of Anchorage ~outhcent~r Branch Post Office E~): 4-2090 99.,,09 Da~e ALASE EPARTMENT OF HEALTH AND SOCIAL S' qCES DIVISION OF PUBLIC HEALTH Lab. No. BACTERIOLOGICAL WATER ANALYSIS Office PLEASE MAIL RESULTS TO: NAME ADDRESS_ ZIP CODE Sample collected by Phone No. Date Collected Sampling Address // Specific place of collection REASON FOR SAMPLE SUBMISSION: [] lllness suspected [] Health Regulated Establishment [] Other · WATER SAMPLE SOURCE [] Welt Type of casing [] Improved (Enclosed, Covered) Spring 3 Surface (Reservoir, stream, lake) [] Holding Tank [] Other Analysis shows this WATER SAMPLE to be: [] Satisfactory [] Unsatisfactory [] Questionable [] submit other sample [] Sample too long in transit to indicate reliable results. Sample should not be over 48 hours old at time of examination. Bottle broken or leaked in transit. [] Other SANITARIAN'S REMARKS 8anitadan's Signature: ~,EAD INSTRUCTIONS 3EFORE COLLECTING SAMPLE 06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1978 Date Received ~0 ~ ,/ -/ Time Received / ,.P'n~'PLab'_. NO, Presumptive 10mi 10mi 10mi 10mi 10mi 1,0mi 0,1mi Confirmatory Broth 24 hours· Broth 48 hours: ()/ lOml Tubes Positive/Total lOml Portions BGB Date REQUEST FOR APPROVAL DIRECTIONS: Complete all parts on page 1. ADDRESS 1 o/ PROPERTY RESIDENT (If different BUYER MAILING A[ ? MAILING A[ MAILING I I, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 IAL WATER AND SEWER FACILITIES Please allow ten (10) days for processing. PHONE PHONE t PHONE 5. LEGAL DESCRIPTION TREET LOCATION 6, TYPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY ' [] Other Five Six 7. WATER ~S/UPPLY [~ INDIVIDUAL* [] COMMUNITY since June 1975. Fe [] PUBLIC UTI LITY depth (attach log able.) 8, SEWAGE DISPOSAL SYSTEM I~ INDiVIDUAL/ON-SITE** **~f individual/on-site, give installation date -/~,f~-./~ ~. If system is over two (2) years old an adequacy test is required [] PUBLIC UTI LITY by this Department. Jired for all wells drilled r to that date, give well NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. '~ 72-010(3/78) ... THIS SIDE FOR OFFICIAL USE ONLY "' DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL ~ DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBL. IC UTILITY Connection Verified __ LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER E]SepticTankor []HoldingTank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line S. COMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78)