HomeMy WebLinkAboutEAGLE CREST #1 TR A LT 55
~, MUNICIPALITY OF ANCHORAC~ '
DEPARTM,._~ OF HEALTH AND ENVIRONMEt, ~L PROTECTION
825 L Street, Anchorao~. Alaska 99501
264-4720
Date Received: January 3, 1978
Time
Date
Insp
~ '~.%~ ~,1% ~2: Time ~ ',.~'~[ 3 ~ 3: Time
io,I-U~ ;,7~! Date ~o~Q-7~ ~,~,~S Date
~ ~ Insp 0; ~ ~ Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER ~D WATER FACILITIES
1. Lending Institution Request: Teamste~'s Federal Credit Union
Mailing Address: 1200 Airport Heiqh~s Road 99504Phone:
2. Property Owner:
Mailing Address:
Alle~ $./Marv C- Anderson Phone: 349-2964
% David Garrison, new buyers, 694-3353
3. Legal Description: Lot 55 Tract A Eagle Crest Subdivision
4: Single Family Residence: (x) Number of Bedrooms: Two
Multiple Family Residence: ( ) Number of Bedrooms:
Se
Well System:
Permit #
Construction
Individual well
Depth of Well
On-site System (x)
Installed 1963
Sewage Disposal System:
Permit #
Septic Tank Size
Absorption Area
(x) Community/Public System ( )
104' Well Log on File ( )
Bacterial Analysis ~
Public Utility
Installer
Manufacturer
Soils Rate Material
e
Distances: Well to Septic Tank
to Sewer Line Nearest Lot line
to Nearest Lot Line
to Absorption Area
Absorption Area
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L Street, Anchorage, Alaska 99501
279-2511, ext. 224, 225
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
EC£WED
1. Type of Inspection: VA FHA
2. Property Owner: ~llen S. & Haz7 C. Z~c~e=son
Mailing Address: ~ First St
3. Name of Buyer: Gu~'-~'~Z~ D.~ T..
Mailing Address:7407 S[:=uce
4. Name of Lending Institution: ~ac M~ L~age ~ratic~x
Mailing Address: '/05 West 6th SuJ.b9201 ~3ch~AkPhone:'
99501
5. Name of Realtor or Agent:
CONV. ~
Eagle Rivert Ak Day Phone:
Day Phone: 272-7508
277-8588
Mailing Address:
Legal Description: Lot55, Tract A, Eagle Crest Su~d
Location: NHN First Street Eagle River, Ak
Phone:,
Type of Facility to be Inspected:
Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal System
Type of System:
If Individual, date of installation
No. Bdrms, 2
Public Utility.
Individual
dwelling built 1963
Individual (on-site)
A.,~oO i! fi
72.003(3/76)
· Pag~ Two
Department of Eealth and Environmental Protection
· ~-~ Request for Approval of Individual Sewer and Water Facilities
Legal Desc.rip.tion: Lot 55 Tract A Eagle Crest Subdivision
Comments: --~x% -~%~wq o~3LV ~4P ~PG '~._~O~U,~(..~ %~
Af fadavit Attached:
Approved:
Disapproved: _
Letter Attached: ( )
Date:
Date:
Department Worksheet:
OOg~: TL6! 'z4v
(~el$od snld) ~OC---llYIAi a31Jll~13o I~od Ld1303U
P
~,' ~ MUNICIPALITY OF ANCHORAG'~,
0 DEPARTME,,, OF HEALTH AND ENVIRONMEN,..L PROTECTION
825 L Street, Anchorage, Alaska 99501
279-2511, ext. 224 or 225
.4 O~ 43 n .- / Date Received: August 29,
EAGLE RIVER AREA
1977
Time
~2: Time ~3: Time
Date Date
Insp Insp
REQUEST FOR APPROVAL OF
Lending Institution Request: Amf~ac=~-t-~aqe Corporation
Mailing Address: 7~=~ 6ch Av=~,u= 9950~r Phone:
2. Property Owner:
e
INDIVIDUAL SEWER AND WATER FACILITIES
AlleD S./Marv C. Anderson
Mailing Address: NHN First Street 99577
~D~_o~t ~'~%~, - ~q ~1 -~&S~
Legal Description: Lot 55 Tract A Eagle Crest Subdivision '
4: Single Family Residence:
Multiple Family Residence: ( )
~ ~.3 ·
5. Well System:
Number ~f Bedrooms: ~o
Number of Bedrooms:
Individual well ~) Community/Public System ( )
~_~ %~J~u~..~ ~ --
Permit # Depth of Well %6~%' Well Log on File ( )
Construction
Bacterial Analysis
Se'wage Disposal System: On-site System
Public Utility ( )
Permit ~ Installed 1963 Installer
Septic Tank Size
Manufacturer
A~sorption Area Soils Rate
~istances: Well to Septic Tank
' i
to.Sewer Line Nearest Lot line
to Nearest Lot Line
Material
to Absorption Area
Absorption Area
~age ~wo
- Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 55 Tract A Eagle Crest Subdivision
Comments
Affadavit Attached: ( )
Approved: ~
Disapproved: ~ ~-~
Letter Attached: ( )
Date:
Date:
Department Worksheet:
06-1220(a) Rev. 1973
DATE
A DEPARTMENT OF HEALTH AND SOCIAL
DIVISION OF PUBLIC HEALTH
INDIVIDUAL AND SEMI-PUBLIC
BACTERIOLOGICAL WATER ANALYSIS
Lo~, .o. 283
OFFIC~
INDIVIDUAL
NAME
ADDRESS
SEMI-PU~,LIC [] CHLORINE II~$1DUAL PPM
REPORT RESULTS TO
:O~PLETE THIS SECTION
ONlY I~ WATER ~ AN INDIVIDUAL ~UPPLY
LOCATION,
[] Iff Jatement ~ Basement Off~et
[] Room
[] No
SANITARIAN'S REMARKS