HomeMy WebLinkAboutFREEMAN LT 11II .
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GREATER AN~iHORAGE AREA BOROUGH
.'' Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Time of ,nspection ~,.~
1. Aoproval Requested By: -1
2. Prooertv ~ner.
3. Legal Description.
.
5. Type of Facility to be ,nspect~d: ~./ ..
Number of Bedrooms: --~ ~
6. Well Data: t ' '~
A. T~e~ B. Dep . ~7
o. Const ctio . D. ' acteriel Analysis'
7.' Sewage DisPosal System:~.
. ~/ .
D. Seepage Ptt~ 1. Stze~2.
~.~ Disposal Field: To,al. Lenpth of Lines
Distances:
A. Well To~ .Septic Tank/~/~
· Nearest Lot Line ~O /7 , Other Con'tamtnation
B. Foundation to Septic Tank ~ /~ "~ Absorption Area /~0f ~
C. Absorption Area to Nearest Lot Line ~/J) ~ ~
· Absorption Area/~)c9/~ , Sewer Lines
'GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" St., Anchorage, Alaska 99503 - 274-4561
I~ECEIVED
REQUEST FOR APPROVAL OF DE[: 1973
INDIVIDUAL SEWER & WATER FACILITIES *
1. Type of Inspection:
2. Property Owner:
Hailing Address:
3. :;~ uf Buyer:
Hailing Address:
4e
CMRO __ VA xlocx FHA
Jay D,
CONV
(NHN} Hawkins Avenue Da), Phone ...........
P.O. Box 10099 ~TT STATIo~ay Phone~7' 3581
~ 344 1200
Na~e of Lending Institution: ~S~ER & CO,
gail~n~ gddre~: 319 ~e~t Flfth Avenue Phons 272-9501
~ame of Realtor or g~eng: ~O~ PL~Sg G~ORGE ~OR~LI~S O 277 ~581
~atl~n~ gddre~s: cio 503 E~ ~orthern L~ght~ ~o~e
6. Legal Description: Lot 11, FREEMAN SUBDIVISION
Location: (NIIN) Ha,.'kins Avenue
7. Type of Facility
8. Water Supply
Type of Supply:
ge
to be inspected: ~-'ep~ t~ Bdrms.3
Public Utility
Individual xx
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal'System
Type.of S~stem: Public Utility Individual
If Individual, date of installation
1
(on-site)
RRqyezt for Approval of 2nu,vidua! Sewer & Water Facilities
Pa.~e Two
.Anr, ro ~
~l-, Apurova! talid for One Year Fro~ Date Signed
Gre~te? Anchorage Area Borough, DeF~rtment of Enviro~.ental Quality
D2AOP~U OF SYSTF~:
! ¢~r~if~, thet the in~ormation contained in this ~equest for approval to be m t~ue
and accura~ representation o~ the subject sewer and water ~acilitie$ located