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HomeMy WebLinkAboutTROLL KNOLL BLK 2 LT 6 GREf ANCHORAGE AREA BOF ,;JGH ~,~1J'1~ Department of Environmental Quality ~ 3330 C Street Anchorage, Alaska 99§03 NAME LOCATION INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM JL~ ~* C-~ iq, R4 Iqc-. K MAILING ADDRESS PHONE SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH M AN U FACTU R E R ~t'.F-~?T "P~$tt ~S NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH I,IQUID CAPACITY IOO0 GALLONS. SEEPAGE PIT: NUMBER OF PITS I DIAMETER~Z'~L' ORWIDTH''~'D~', LENGTH22~ DEPTH I0' LINING MATERIAL ~__-~A/~'~.~;/'~' CRIB SIZE: DIAMETER..~DEPTH ~t DISTANCE FROM: TOTAL EFFECTIVE BUILDING FOUNDATION NEAREST LOT LINE-"Z-~* . WELL ABSORPTION AREA (WALL AREA) ~"0/~ ADDITIONAL ABSORPTION WELL= TYpE~-----6~L4tL(q/'-) J t'Y~ CONSTRUCTION DEPTH BUILDING NEAREST NEAREST SEPTIC FOUNDATION LOT LINE SEWER LINE. TANK CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCE FROM: SEEPAGE SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE= REMARKS: Form No. EQ-031 DIAGRAM OF SYSTEM ~/G.A.A.B. GREATER ANCHOP~AGE AREA BOROUGH Departmentof Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 10-7-75 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. 1. Approval 'requested by: National BAnk of Alaska Mailing Address: Post Office Box 600, Anchorage 99510 2. Property Owner: Thomas Mc Cormick Mailing Address: Post Office Box 279 Chugiak 99576 3. Legal Description: Lot 6 Block 2 Troll Knoll Subdivision 4. Location: Mile 22 5. Type of facility to be inspected 6. Well Data: A. Type Semi-public C. Construction 7. Sewage Disposal System: On-site A. Installed 10-11-74 B. C. Septic Tank: 1. Size 1,O00 D. Seepage Pit: 1. Absorption Area 504 E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank Phone: Phone: 694-9125 Single Family Dwelli~. of bedrooms Three B. Depth D. Bacterial Analysis Installer Spring Creek Excavating. 2. Manufacturer Sunset Plastic 2. Material Concrete , Absorption area Other contamination , Absorption area C. Absorption area to nearest lot line , Sewer Lines EQ-034 {1/74) Page 1 of two pages . .' Page' 2 of two pages - Re,~st for Approval of Individual :'"~.r & Water Facilities regal Description Lot 6 Block 2 lroli ~oll Subdivision Cements Approved Approval \Valid for one year frown date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I 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) GREATER ANCHORAGE AREA BOROUGN_. Department of Environmental Quality 3330 "C" St., Anchorage. Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: 2. Property Owner: Mai.ling Address: 3. Name of Buyer: ~bert y~! )lalonev Mailing Addre~71'I. 27th St. Anchoraae 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or.Agent: Mailing Address: ~ n ~ny CI,IRO VA FHA THO)lAS ~'cCormick P. O. Box 279, Chuqtak, Alas~ay Phone Day Phone Phone GREAT LAND REALTY Phone CONV X 694 -9125 274-3602 694-9354 e Legal Description: Location: II1.22 Lot 6 Block 2, TROLL K~OLL SUR. 7. Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility ~~~. Bdrms. Individual If Individual, number of dwellings presently served If Individual, depth of well (~ ~ 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation EQ-037 {l/74)