HomeMy WebLinkAboutT15N R1W SEC 18 Tract AA
~ GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received ~>~/~
Time of Inspection
Date of Inspection
4.
5.
6.
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
- FOR .
Approval requested by: ~
. .
Mailing Address: ~ ~0~ ~
Legal Description: ~~ . ~/~ /
Type of facility to be lnspecte' d~~' ' ~
Well Data:
A. Type ,,~~
C. Construction
D. Bacterial Analysis
7. Sewage Disposal System:
A. Installed
B. Installer
C. Septic Tank: 1. Size
2. Manufacturer
D. Seepage Pit: 1. Absorption Area
2. Material
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
EQ-034 (1/74) Page 1 of two pages
/
' '~ it ~l 'of IndividU~'~ ~ ~er & Water Facilit'ies
P~age~ 2 of two pages - R6; for ApProv ,, ~ .,,
Legal; DeS'cription , , , i ,
Comments ~/J~2~ ~-~-~.~J//~~-~x ~~- ~~ ~., .
Approved ~~~ ~p~o~ed- % ' Da~e ,
.,_~ ), &pp~gva~l'~Va~]d~ ~ one~.~ear from date ~igned ~ .~ .:~,,,
Great &,6. h r 6 ~c~a~o~}~P~me~t ?~l~vz~eD~a'~ Qua~i'~9''~> ~ ~
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 fa'cilities
are operating satisfactorily.
SIGNED
Date
Eq-034 (1/74)
276-2~21
1. Woll located in a p~, ~his will ~ ~o ~ ~ii1~ in with
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER PACILITIES
FOR
1. Approval requested by:
Mailing Address:
2. Property Owner: ~ ~ ~ ~ ~.\.
Mailing Address:
Description:
Phone:
Phone:
3. Legal
4. Location: F'l[~_
5. Type of facility to be inspected
6. Well Data:
A. Type ~,~-~]~ ~~
C. Construction
7. Sewage Disposal System: ~)L~-~'~
q
No. of bedrooms
B. Depth ~-/
D. Bacterial Analysis
A. Installed B. Installer
C. Septic Tank: 1. Size
2. Manufacturer
D. Seepage Pit: 1. Absorption Area
2. Material
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
LQ-034 (1/74) Page I of two pages
3330
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
"C" St., Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
VA × FHA CONV
1. Type of Inspection: CMRO
2. Property Owner: Hillary J. Miohli~
Star Route
~'~'.ing Address: ChuMiak? Alaska
3. Name of Buyer:
Daniel W. and Robin M.
2008 E. 38th
Da_~y__Phone 688-2462
Fassett
Mailing Address:
4. Name of Lending Institution: Coast Mortgage 9. O. Box 1200
Mailing Address: Anchorage, Ak., 99510 Phone
Alma Werre/Jerry Vitale
5. Name of Realtor or Agent:
P. 0. BoX lOb~
Mailing Address: Eagle River, Ak., 99577 Phone
Anchorage, Ak.~_99504 Day Phone 279-5360
27q--950~-
Selective
Realty
694-9524
Tract A, Sec. 18, T15N, R1W, S.M.
Legal Description:
Location:
Mink Creek Subdivision, Alaska
7. Type of Facility
8. Water Supply
Type of Supply:
If Individual,
If Individual,
9. Sewage Disposal
Type,of S~stem:
If Individual,
to be inspected:
Bdrms. D~
Public Utility Individual
number of dwellings presently served 1
depth of well 285 ft.
System
Public Utility Individual (on-site
date of installation 19757 Borough Approved.
X
Page 2 of two pages - Re ,st for Approval of Individual 'er & Water Facilities
Comments
Approved
Disapproved .~~==~ Date ~
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. ~
EQ,034 (1/74)