HomeMy WebLinkAboutCREEKSIDE PARK #1 LT 49A
25'
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GREATER ANCHORAGE AREA BOROUGH SJ//d/? ~/
Department of Environmental Quality ~//~/TY
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received wz'/?/~
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Description:
4. Location:
5. Type of facility to be inspected
/~~ ~~ Time of Inspection
~~~R UE Date of Inspection
ST FOR APPROVAL OF
IDIVIDUAL SEWER & WATER FACILITIES
FOR
Phone:
Phone:
No. of bedrooms
A. Type
B. Depth
,A.7',¢- ,,¢'£'-/,¢
C. Construction
Sewage Disposal System~
A. Installed
C. Septic Tank:
D. Seepage Pit:
D. Bacterial Analysis
B. Installer
¢~/00~)¢~. Manufacturer
E. Disposal Field:
1. Absorption Area /-9~(/~' 2. Material
Total length of lines
J
Distances:
A. Well to:
Septic tank
, Absorption area
, Sewer Lines
Nearest lot line ---- , Other contamination
B. Foundation to septic tank /~ , Absorption area
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C. Absorption area to nearest lot line /~) ~ ~ '~
EQ-034 (1/74)
Page 1 of two pages
P~ge 2 of two pages - k~uest for Approval of Individual _lerner & Water Facilities
Legal Description
Approved ~/~-~~~ Disapproved
proval Valid for one year from 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)
G,~'~'~ER ANCHORAGE ARL,. BOROUGh"
Department of Environmental Quality
3330 "C" St., Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
o
Type of Inspection:
Property Owner:
Mailing Address:
Name of Buyer:
Mailing Address:
CMRO
Ed. Howes
VA x FHA
4201 Parsons
Robert Do Jaeger
3230 Peterkin Ave. [~20
CONV
Oa.¥ Phone call realtor ,.
Phone 279-5868
Name of Lending Institution: Kassler & Co.
Mailing Address: 319 5th Ave. Phone 272-9501
Name of Realtor or Agent: m Skyway .Realty -- Jean Eoff
Mailing Address: 3202 Spenard Phone 277-9585
Le§al Description: Lot 49A, CREEKSIDE PARK ~tl
Locati on: 7700 Dover Avenue
7. Type of Facility to be inspected: Septic tank
8. Water Supply
Type of Supply: Public Utility xx Individual
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal-System
Type,of S~stem: Public Utility
If Individual, date of installation
No. Bdrms. 3
individual (on-site) X
unk~ao~n .
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Time of Inspection ~j[ Q> (] ,
Date of Inspection. ~/~/-~ ~
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
A~pro~al Requested By: : , , .
Address:
2. Property O~ner: ' ~.. ~3_~
4. .ocation: 77oo
5.
Type of Facility to be Inspected:
Number of Bedrooms: ~
6. Wel] Data:
Phone:
Phone: ~ ~ --~ hz -~-~
A. Type B. Depth
C. Construction D. Bacterial Analysis'
A.
¢. Septic Tank~ lo Size' 2, Manufacturer
D. See Size 2. Material
Disposal Field:' Total Length of Lines
Distances:
A. Well To: Septic Tank , Absorption Area , Sewer Lines
, Nearest Lot Line
, Other Contamination
B. Foundation to Septic.Tank "~ Ab'~orption Area
C. Absorption Area to Nearest Lot Line
Requezt for Approval of .~_.vtdua! Sewer & Water Factlitie.~
Page Two
. / ! ,
'' Approval Valid for One Year From Date Signed
Greater Anchorage Area Borough, DeF~rtment of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true
and accurate representat~.on of the subiect sewer and water facilities located at:
Signed Date
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