HomeMy WebLinkAboutEAGLE RIVER HEIGHTS BLK 2 LT 26
.' ,; 825'~ L"~Street, Anchorage, Alaska 99501
~~. 279-2511, ext. 224 or 225 ~~
./ ]' Date Received: ~uq~st 15, 1977.
· ~: Time ~a.m.. ~2: Time
%3: Time
Date 8-16-77 Tue__s Date Date
In~p Kennedy ..... ~nsp ~ . ~ Insp
REQUEST FOR APPROVAL OF INDIVIDUAL S 'ZER AND WATER FACILITIES
1. L~n~ing Institution Request:
Mailing Address:
Phone:
Property ~./ncr:
Mailing Address:
Great Land Realty % Lionel E. De~one:
Box 633 Eagle River 99577
694-9125
'3. Legal Description: Lot 26 Block 2 Eagle River Heights Subdivision
4.' Single Family Residence: (x) Number of Bedrooms:
Multiple. Family Residence: ( ) Number of Bedrooms:
~o
5. Well System:
Permit #
Construction,
e
Sewage Disposal
Septic Tank Size
Absorption'Area
Individual Well (x) Community/Public System ( )
Depth of Well 15Q' -. Well Log on File
Bacterlal Analysis
System: On-s~te System (~ Public Utility (
Installed ~-~ Installer
Manufacturer
Soils Rate Material
( )
Distances:
Well to Septic Tank
.to Sewer Lina Nearest Lot line
to'Nearest Lot Line
to Absorption Area
Absorption Area
De'partme~t of Health and Environmental Protection
for Approval of Individual Sewer~and Water Facilities
~%~)~io~: Lot 26 Block 2 Ea~le River }{eights sUbdivision
A{fadavit Attached: (') Letter Attached: ( )
Date:
Department Worksheet:
)..,) .. _.,~, ,. : f ~NICIPALITY OF ANCHORAGE'
'!' ~ ~fi ///'-~-'~-~x ' Department of tlealth and Envzronmental Protectzon
; ",;'~~,~ 825 L Street, ~chorage, Alaska
0
., lMailing'Address: .
Buyer:
,lMailing Address:
}Lending Institution:
iMai!ing Address:
Realtor/Agent:
Mailing address:/~
Phone:'
Phone:'
Phone:
Phone:
Legal Description: X g3/- ',,~ ~' £,~ 2: ~-/{~<" /?/VZ:/? llr~,
Street Location:
Single Family Residence: '(~) Number of Bedrooms:
Multiple Family Residence: ( ) Number 6f,Bedrooms:
Water Supply: *Individual Well (/~ Public/Community System ( )
If Individual Well, well depth /~'
"*NOTE:
.If Community System, name of system
Sewage Disposal System: 'On-site System
If On-'site System, date of installation:
(,) Public System
A well log is required on ALL wells drilled since
6175.
06-1220(a) Rev. 1973
DATE
ALA"~'~.PARTMENT OF HEALTH AND SOCIAL
DIVISION OF PUBUC HEALTH
INDIVIDUAL AND SEMI-PUBUC
BACTERIOLOGICAL WATER AHALYSIS
INDIVIDUAL J~ SEMI-PUBLIC J-] CHLORINE RESIDUAL PPM
REPORT RESULTS TO
ADDRESS ': '
CITY
ADD"ESS , ·
OFFICE
SANITARIAN'S REMARKS
COMPLETE THIS SECTION
ONLY IF WATER IS AN INDIVIDUAL SUPPLY
S,U~PLE COLLECTED R~
DATE COLLECTED (" ar ~/'TIME ~OLLECTED
~¥011,-- [~ Wood [] Concrete
LOCATION: ',
[]-lin Yard[] O~her
[] Of Well [] Olher
PURPOSE OF EXAMINATION: Illness Suspected? [] Yes [] No
READ INSTRUCTIONS
ON
REVERSE SIDE
BEFORE
COLLECTING SAMPLE
/
B&1220Ib)Rev. ,973 BACTERIOLOGICAL WATER ANALYSIS RECORD
February 25, 1972
~r. Jt~ Allen
South Central PeOtonal Supervisor
State Oepart~ent of Environmental
~acKay Building, Poo~ 214
33~ Dena11 Street
Anchorage, Alaska 99501
Subject: Lot g6, Block 2, Eagle
Conservation
Fiver Heights Subdivision.
Dear ~r. Allen:
An Inspection of the sewer and ~atcr systems servtn~ thc Devon-
reft residt~ce, located at th~ sub{eot ~rorerty, ~,as ~ade em
~r veer request of February 1£, 1972.
The well castng extends ~bove ~reund ~nd is auproximat~ly three
fret from the house fou~datioe. The wires goin~ to the sub-
ecrstbl~, pu~r are loose where they eetcr th~ toe o~ the ~cal.
Since thc ),tr~ ur( loose et this ~otnt. it ts rrco~ended that
silicone putty be ar~lted to the ~al l:hcrc t~e vires enter the
s~al.. The veil is lee fei. t free the closest sea, er serl, a~e area.
W6 were unable to determine vhcther a septic tank had been
stmlled in con,unction with the $¢euaOe rte. lb~ sewer systc~
was (uncttontn~ {attsfactorily. Hrs. Oav,nrort stated tibet the
forcer owner of thc house uay have ~ore tnforc:atton on thc sewer
system, but at rrescnt, the forter owner is on vacation and is
not exr~cted to return until the end o¢ l~arch.
If you have any questions regarding the above, rlease do not
hesitate to contact this
Sincerely,
Lynn $. Coed
EnvironMental
st
Srectalist