HomeMy WebLinkAboutLot 01, 02
ROUTE SLIP
SEWER & WATER SECTION
Wells
Remove from card index/computer.
Sewers
Remove from card index/computer.
Well and Sewer
Remove from well/sewer index,
(only one item done).
Remove from card index/computer,
(both well/sewer inspected).
Loan Approvals
Schedule for a perc test.
Hold for water.
Hold for more information.
Will hand carry paperwork.
Hold for well log.
Approved.
Sewer Upgrade
Well Upgrade
~ ~MUNICIPALITY OF ANCHORAGF ,
' DEPARTME~OF HEALTH AND ENVIRONMEN'i~-~ PROTECTION
825 L Street, Anchorage. Alaska 99501
5~ ~ 264-4720
~ ~ ~ Date Received: Septe~er 6, 197~
#1:
Time ~,~)L'~(rl #2: Time #3: Time
Date ]~'~l~Q /~&/~/ Date Date
Insp 2nJ~ Insp Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
Lending Institution Request: Spokane Mortqaqe Company
Mailing Address: 3201 C Street, Suite 250 Phone:
277-0543
Property Owner: Clement/ Florence Grenier Phone:
Mailing Address: % Cher Brown~ Dynamic Realty 279-7611
Legal Description: Lots 1 and 2 Sutton~Subdivision
Single Family Residence: ~x
Multiple Family Residence: ( )
Well System: Individual well (
Permit ~
Construction
Number of Bedrooms: Three
Number of Bedrooms:
) Community/Public System. ~x
Depth of Well Well Log on File
Bacterial Analysis
6. Sewage Disposal System:
Permit ~
Septic Tank Size
Absorption Area
7. ~istances: Well to Septic Tank
to. Sewer Line Nearest Lot line
,
to Nearest Lot Line
On-site System ( ) Public Utility
Installed Installer
Manufacturer
Soils Rate Material
(~x
to Absorption Area
Absorption Area
~'~-~' MUNICIPALITY OF ANCHORAGE~
DEPARTMENT OF ENVIRONMENTAL QUALITY- Sewer and Water Section
825 "L" Street, Fourth Floor, Anchorage, Ak. 99503 279-2511 Ext. 229
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
Type of Inspection: CMRO
Property Owner: Ciem~ent and Florence Grenier
Mailing Address: unknown
Name of Buyer: Erwin R. and Linda L. Jenson
CONY
VA ~ .FHA
Day Phone
Mailing Address: 7800 DeBarr Avenue #272
Name of Lending Institution: Spokane Mortgage Co.
Mailing Address: 3201 "C" Street, Suite 250
Name of Realtor or Agent: Cher B_rown - Dynamic Realty
Mailing Address: 501 w. Northern Lights
Day Phone 333-8887
Phone 277-0543
Phone 279-7611
6. Legal Description: Lots i and 2, Sutton~Subdivision
Location: 8138 Peck Avenue, Anchorage
7. Type of Facility to be inspected:
single family
No. Bdrms. 3
Water Supply'
Type of Supply: Public Utility
If Individual, number of dweIHngs presently served
COMMUNITY
unknown
If Individual, depth of well 700 ~eet deep - driven well
9. Sewage Disposal System
Type of System: Public Utility XXX
Individual (on-site}
EQ-037 (1/74)
If Individual, date of installation
MuNiCIPALITY OF
DEPI, QF HEALIH
ENVIRONMENTAL
SEP
- h,)' '"F:tDNV :~0
pa~e Two
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lots 1 and 2 Sutton~Subdivision
Conm~ent s: ~~
Affadavit Attached:
Approved: ~
Disapproved: if~Cz
Letter Attached: ( )
Date:
Date:
Department Worksheet: