HomeMy WebLinkAboutCREEKSIDE PARK #1 LT 50AL oA
De=ember 3~ 1968
Mr. Den Rapalee
Local Representative
Veterans AdministraTion
Box 1399
Anchorage, Alaska 9950l
SUBJECT: Sewer and Water
Approval for Existtn2 Hom~-
Lot $OA, C~ekside Park Subd.
Dear Mr. Rapalee:
Personnel of the Creater Anchorage Area Borough Meal. th Depart-
ment have inspected the suh~ect home for approval. The water
supply is from an approved community supply. The type of
sewer system could not be determined but is functioning
satisfactorily.
This Department will grant conditional approval of the sewer
system until July 1, 1969, at which time sanitary sewer
will be available.
This Department recommends that sufficient funds be placed in
escrow for the cost of connection to the sewer.
Sincerely,
DAVID R. L. DUNCAN, M. D.
Medical Director
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWAGE AND WATER FACILITIES
(Fi.].l out in Trinlicate)
Name of erson requesting aooroval ''~~~~
.~ N~ of proper~y owner r ~
3. he[~ descripti
~, Nu~er-of ~edroomS in house ~
Water Analysis:
a. Bacterial
b. Detemgent
6. We 11 data:
a. Type --'
b. Depth
c. Casing Size ·
d. Distance from well to closest existing or proposed:
1. Sewer llne ·
Septic tank
3. Seepafe Area
Cesspool'
5. Property Line ·
6. Other sources of possible contamination, i.e., creeks, lakes,
houses, barn, drainage ditch, etc. '
7j
Sewage disposal system.
a. Age of system_ ~~~-~~
b. Septic tank capacity in gallons
c. Name of septic tank manufactum~r_
1. If "home made" show diagram on reverse side of this form.
d.' Disposal field or seepafe pit size and type_
1. Distance to property line
to house foundation_._._.___.
.e, Percolatic~ T~st
f. Percolation Test performed by
Use the reverse ,side of this form to show diagram. Diagram should include
"'~he foJlowing information: p.~opePty lines; .well location, house location,
~t~'{c tank location, disposal area location, location of percolation test
and dlr~ction of ground slope.
The l~rf~'~m.~on on this form is true and correct to the best of my knowledge.
S~ifnature of Applicant ~'ate Signed
TO BE FILLED OUT BY HEALTH DEPART~.~ENT PERSONNEL
~-~7~e above described sanitary facilities are hereby approved subject to ~he
.......... ~611owing conditions: ' ........
The above described sanitary facilities are disapproved for the following
~easons:
Approval is valid for one year following the date of approval.
CPJ:cw
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