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HomeMy WebLinkAboutTURNAGAIN PARK BLK 1 TR 6 - J~L d~'~-Partment of Environmental Quality ~e333~"C~-Street, Anchorage, Alaska ggS03 274-4561 Date Received December 1, 1976 Time of Inspection~ Date of Inspection~~.~ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. Approval requested by: National Bank of Alaska % Ruth Tract 6 Block 1 Turnagaln Park Mailing Address: Post Office Box 3-3859 2. Property Owner: Harold Holliboush Mai]i.g Address: Star Route A Box 1467 3. Legal Description: Phone: Phone: 274-5602 4. Location: 5. Type of facility to be inspected $inc, lle Fam£1¥ No. of bedrooms 3 6. Well Data: A. Type C. Construction Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: Individual On-site 1. Size 1. Absorption Area Total length of lines B. Depth D. Bacterial Analysis system B. Installer 2. Manufacturer 2. Material e 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 - Request for Approval of Individual Sewer & Water Facilities Legal Des,cription ~ Comments y~ .~'#~ ~ ~. Approved Disapproved~m~ Date ~',,,~".~..~"~'~ Approval ,Val id for one si(im'ed year from date Greater Anchorage Area Borough, Department of Environmental Quality 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) · , , ol ENVIRONMENTAL PROTECI'IOI~ MUNICIPALITY OF ANCHORAGE DEC ~J lgT~ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION · ~10 East Tudor Road, Anchorage, Alaska ggs04 276-2221 RECEI.V. ED ' REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Typeof Inspection: CMRO VA_ .FHA CONV 2. Property Owner: ~.~. ~L_ Mailing Address: j°,cs//c/ ? ~/'~ 7 Day Phone: ~ ? ,'/- ~ © '/ 3. Name of Buyer: Mailing Address: 4. Name of Lending Institution: Mailing Address: /~L 5. Name of Realtor or Agent: Day Phone: Mailing Address: Legal Description: Phone: Location: Phone: 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Public Utility No. Bdrms. Individual ./ If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) 72-003(3/76)