HomeMy WebLinkAboutZODIAK MANOR ALASKA BLK 4 LT 24
d.;ATEF: ANCHO?.A:~E ^REA BOROU(;H
HEALTIi D;,;PAkTHEilT
327 IiA~I,K STREET
ANCHORAGE, ALAfiKA'99501
'CASE ~
DaZe Performed
· ,~'~cola~zon Test
?roposed Instal~-~'i'o,-~'~eepage Pit ,
Drain Field
DepTh Of Inlet______._._._.._..l)ep~~it Or l'r.nch,~ ' .....
. :, /,.~ ,'. ~t~~ ~¢n,',' ~'~ ,'"'~ ':,'/,':' :/',- // Z>::"','~' ~:" :;~. F,,-
T~st Perfo~d B), ,
Data Certified By:~
Date ;_._.~
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received December 29, 1976
Time of Inspection
Date of InSpection _
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Cony.
'1. Approval requested by: Alaska National Bank
Mailing Address: Pouch 7--010
2. Property Owner: Robert Stone
3. Legal Description: Lot 24 Block 4 Zodiak Manor
% Bonnie Oldwyn
Phone: 277-5511
Phone: 277--1265
subaivision
8624 Pluto Drive
x 31
4. Location:
Type of facility to be inspected Single Family No. of bedrooms 3
Well Data:
A. Type Individual B. Depth
C. Constructional--- ~acterial
Sewage Disposal System Public U~_~
A. Installed B. Installer
Analysis
C. Septic Tank: 1. Size
D. Seepage Pit: 1. Absorption Area
2. Manufacturer
2. Material
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank
Nearest lot line
, Absorption area
, Other contamination
, Sewer Lines
B. Foundation to septic tank
Absorption area
C. Absorption area to nearest lot line __
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Rec, ~t for Approval of Individual E ir & Water Facilities
Legal Description Lot 24 Block 4 Zodiak Manor Subdivision
Comments
AppY~l ~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)
3330
'GREATER ANCHORAGE ARk/, BOROUGH MUNICIPALITY OF ANCHORAGE
Department o'f Environmental Quality DEPT. OFHEALTH&
"C" St. , Anci~orage, A1 aska 99503 27~V~N?AL PROTECTION
0E.C 2 9 i976
REQUEST FOR APPROVAL 0F
RECEIVED
1. Type of Inspection: CMR0 ......
2, Property Owner: ROBERT STON~builder
Mailing Address:
3. Name of Buyer:
VA FHA
_D_a~ Phone
ROBERT II. REYNOEDS & WADE WRIGHT REYNOLDS
CONV ._%X __.
277-1265 "
Flailing Address: 1616 Lqga_n Oa~ Phonehis wk #279-7431
Ancherage, Ak. her wk
Name of Lending Institution: Alaska National Bank
Mailing Address: Pouch 7-010 Phone 277-5511 ext 31
Name of Realtor or Agent: Christine Sbennum @ Shennum Agency
Mai~ing Address: 236 E. 5th Avenue Phone 279-3511
-A n--~FFo-r a g e, Alaska
Legal Descriptioni Lot 24, Block 4, Zodiak Manor Subdivision
Location: 8624 Plnto Drive, Anchorage, Alaska 99507
7. Type of Facility to be inspected:
8. Water Supply
Type of Supply:
If individual,
If Individual,
Single Family No. Bd¥'ms. 3
Public Utility Individual x
number of dwellings presently served l
depth of well
9, Sewage Disposal'System
Type .of S~stem: Public Utility
¢ If Individual, date of installation
Bonnie Oldw~n
Alaska Mational Bank'~
Mortgage Loan Dept.
Individual (on-site)
06-1220(a) Rev, 1973
DATE
ALA,~DEPARTMENT OF HEALTH AND SOCIAL SE ~,ES
DIVISION OF PUBLIC HEALTH Lob No
INDIVIDUAL AND SEMI-PUBLIC
BACTERIOLOGICAL WATER ANALYSIS OE,CE
SEMI-PUBLIC [] CHLORINE RESIDUAL PPM
RI!PORT RESULTS TO
ADDRESS
CITY
ZIP CODE
ADDRESS
OF SOURCE
A~alysls shows Ibis Water SAMPLE to bm
L~ SatJsfacfory
[] Unsatisfactory
SANITARIAN'S REMARKS
COMPI.ETE THIS SECTION
ONLY IF WATER IS AN INDIVIDUAL SUPPLY
SAMPLE COLLECTED BY
DATB COLLECTED
TIME COLLECTED '
[] Kitchen Tap [] Bathroom Tap [] Basement Tap
GENERALt Does Water Become MudrJy or Discolored? [] Yes [] No
PURPOSE OF EXAMINATION: Illness Suspecled? [] Yes
READ INSTRUCTIONS
ON
REVERSE SIDE
BEFORE
COLLEC'rlNG SAMPLE
06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD
ese BrolB 10cc 10cc J0cc 10cc 10cc 1,0cc 1,0cc
24 Hours
48 Ho~rs
NEP FUN
~J
152
12
151 -,~> 12
Y
158
Hidden Lake Area Reference Map-P12
