HomeMy WebLinkAboutYALE BLK 2 LT 10LoT'
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'BIo,ct
~ t~ GREATER ANCHORAGE AREA BOROUGH
~'~ Department of Environmental Quality
,?' x/~,~3~O "C" Street, Anchorage, Alaska 99503 274-.4561
. ~,~o~A~v Date Received Novembe~r 1_~5~ 1__9--76
l, Appr0va] request d by~ ~ L--~r~ ~ ~n~ 2oan Ass ciati0n
535 D Street % Sue La MontPh0ne: 272-1451
Mailing Address:
2. Property Owner:
Mailing Address:
Legal Description:
Location:
Dino Kangis
9411 Emerald Street
3. Lot 10 Block 2 Yale
4. 9411 Emerald Street
5. Type of facility to be inspected Single Family
6. Well Data:
A. Ty p e ~"~-~-~-~z~.~
C. Construction
7. Sewage Disposal System:
Phone: 349-3367
No. of bedrooms 4
B. Dep'~.h
D. Bacterial Analysis
On-site system
A. Installed
C. Septic Tank:
D. Seepage Pit:
E. Disposal Field:
Distances:
B. Installer
1. Size 2. Manu':acturer
1. Absorption Area 2. Material
Total 'length of lines
A. Well to: Septic tank
Nearest 10t line
B. Foundation to septic tank
, Absorption area
, Other contamination
, Absorption area
C, Absorption area to nearest lot line
, Sewer Lines
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Ret. ~t for Approval of Individual S ~r & Water Facilities
Legal Description il,hr lO B]~mk 2 Ym]e Subdivision
Comments
A p p r o v e d ~-~_._9.~_~.,..~ 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.
SIGNED Date
EQ-034 (1/74)
ADHW - LAB ' 2W
DATE
STATE OF ALASKA
D?ARTMENT OF HEALTH AND WEI' RE
DIVISION OF PUBLIC,' HEALTH
BACTF. RIOLOGICAL'WATER ANALYSIS
PUBLIC [] SEMI'PUBLIC ~ 'qDIVIDUAL [] OTHER
REPORT RE.%ULTS TC
NAME
SAMPLE COLLECTED BY
When?.
Well Casin~
OFFICE
Records m Ihls office nmca~e Ihls WATER SUPPLY to r~e of:
[] Salisfacto~y [] QuesBonnble [] UnsoBsladery Sanitary Blatus.
6. Imr~rove ~our 3 spring 3 dug well [] driven wel
3 drilled well [] clsfern.
9. Conrad ~,our nearest [] Loca~HealfhDeoanmen~or [] Alaska
SANITARIAN'S EL:MARKS
READ INSTRUCTIONS
ON
REVERSE SIDE
BE FO RE
COLLECTING SAMPLE
BACTERIOLOGICAL WATER ANALYSIS RECORD
rose Broth IOcc 1Oct 1Oct lOcc IOcc I.Occ 0.1cc
24 hours
48 hours ·
24 hours
AGAR
taclose Broth. 24 hrs. 48 hrs..
Coliform Oensily
(Most prohai)le No, per 100cc.)
IVIUNICIPAI.,ITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMF:NTAL QUALITY
3330 "C" Street, Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO ____
2. Property Owner: Dino Kanqis
. VA FHA CONV xx
9411 Emerald St.
Mailing Address:
3. Name of Buyer: Dino KanoL~iS
Mailing Address: 9411 Emerald ST.
4, Name of Lending Institution:
Day Phone 349-3367
Day Phone
Home Federal Savings & Loan Assn.
Phone272-1451
Phone
349-3367
Mailing Address: 535 D St.
Name of Realtor or Agent: none
Mailing Address:
6. Legal Description:
Location:
Lot 10, Block 2, Yale Subdivision
9411._Emerald St, off Dimond Blvd.
7. Type of Facility to be inspected: _ single
8. Water Supply
Type of Supplv: Public Utility
If Individual, number of dwellings presently served
If Individual, depth of well __ unknowq
9. Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
Individual
Individual (on-site)
llnknown
family
No. Bdrms. 4
MX
EQ-037 (1/74)
Sue LaMont
272-1451
DII~OM()
~40~ q~-of
UJ
Sand Lake Area Reference Map-PlO
123
140 ~>- 142
¥ 153
141
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