HomeMy WebLinkAboutSIEFKER #2 LT A-8A~/330 "C" Street, Anchorage, Alaska
Department of Environmental Quality
GREATER ANCHORAGE AREA BOROUGH
99503
274_45~6>::~)
Date Received --January 24, 197/
Time of Inspection ~
Date of Inspection ~~
FOR
Conv.
Approval requested by: ' ' e~F~f~k.nc=~q~9~m3e , -,
Mailing Address: Post Office Box 720, 99510 Phone: 276-6300 x 483
2. Property Owner: Floyd Hill . Phone: 344-2909
Mailing Address: NHN Huffman Road
3. Legal Description: Lot A-8 A Siefker Subdivision
NHN Huffman Road
4, Location:
5. Type of facility to be inspected
6. Well Data:
A. Type Individual
C. Construction
Sewage Disposal System:
A. Installed
C. Septic Tank:
D. Seepage Pit:
Single Family
No. of bedrooms
B. Depth
D. Bacterial Analysis
On-site system
B. Instal]er
2. Manufacturer
, Absorption area
, Other contamination
, Absorption area
1. Size
1. Absorption Area
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
C. Absorption area to nearest lot line
, Sewer Lines
2. Material
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Re( ~t for Approval of Individual S ~r & Water Facilities
Legal Description Lot A-8 A Siefker Subdivision
Comments
Approved
Disapproved Date
Approval~Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
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)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
MUNICIPALITy OF ANCHORA
E~...,2..E.P.L Op HEALTH & OE
' "¥ '":LJNMI~N/'AL PROTECTION
ill 2 4 1977
1. 'rype of Inspection:
2. Property Owner:
Mailing Address:
3. Name of Buyer:
CMRO
Floyd Hill
VA FHA
NHN Huffman Road
Mark & Karen Fairchild
CONV
Day Phone: 344-2909
Mailing Address: ~ Huffman Road Day Phone: 344--2909
4, Name of Lending Institution: First National Bank of Anchoraqe
Mailing Address: P.O. Box 720 Phone: 276-6300 ex% 483
5. Name of Realtor or Agent: none
Mailing Address:
Legal Description:_
Location:
Phone:
Lot A~8 At Siefker S/D
NHN HufJhnan Road
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
existinq sinqle family res No. Bdrms. 2
Individual_ X
Individual (on-site)_ X
The Fairchild's are currently living in the property, Mrs. Fairchild should be
contacted for entry... If you can't reach her, Mr. Fairchild's work number is 753-5104.
72-003(3/70)
Redi_rmf? 0 SEND PARTS 1 AND 3 WITH CARBON INTACT
4S 469
PolyPak(50*e 4P469 PART 3 WILL BE RETURNED WI[H REPLY
DETACH AND FILE FOR FOLLOW UP