HomeMy WebLinkAboutWOODLAND PARK LT 22E)A]O0 O t.,An o
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
"C" Street, Anchorage, Alaska 99503 274-4561
Date Received
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
l. Approval recuested by: x~~)~-~_/)
Mailing Address:~~'~ ~y~7/ Phone:
2. Property Owner: Phone:
Mailing Address: ~0~ ~/~~
3. Legal Description: ~ ~ ~~~~
4. Location: ~W& ~~
5. Type of facility to be inspected ~~
6.
Well Data:
A. Type~
¢. Construction
B. Depth
1. Sewage Disposal System:
A. Installed
No. of bedrooms
D. Bacterial Analysis ~,~ ;~/-~'7~
B. Installer
C. Septic Tank: 1. Size
2. Manufacturer
D. Seepage Pit: 1. Absorption Area
2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank
, Absorption area
, Sewer Lines ,
Nearest lot line
, Other contamination
B. Foundation to septic tank
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - R/ ~st for Approval of Individual Jer & Water Facilities
~wal Description
Comments
Approved
~Appr al )isapproved
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 facilitie~ and these facilities
are operating satisfactorily.
SIGNED
Date
EQ-034 (1/74)
GR£ATER ANCHORAGE AREA BOROUGH_i
Department of Environmental Quality
3330 St, Anchorage, Alaska 99503 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
Type of Inspection: CMRO VA b.~ FHA
CONV
Property Owner:
Mai-ling Address:
Name of Buyer: "~<r~r
Mailing Address: ~.~ (~,'//~
Name of Lending Institution:
Mailing Address:
Day Phone
Day Phone
Phone ,~
Name of Realtor or.Agent:
/
Mailing Address: ~(~
Legal Description:
Location: ~ ~c9
7. Type of Facility
8. Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility /
If Individual, date of installation
to be inspected:'-~_~
Individual
presently served
No. Bdrms. ~
/
Individual
(on-site)
EQ-037 (~/74)
Spenard Area Reference Map-P7
62
¥
75
,I
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
\~__~ Date Received
~ ~J-~~' ~L)~ / Time of Inspection
~-~Y- ~~ Date of Inspection
~/ RE~EST FOR APPROVAL OF
/ INDIVIDUAL SEWER & WATER FACILITIES
FOR
o
Approval requested
Mailing Address:
Property Owner:
Mailing Address: .~D~o
3. Legal Description: !
4.. Location: ~O~a ~),_~,~) ~,~. ~
5. Type of facility to be iQ~,~ec~ed
6. Well Data:
A. Type B. Depth
C. Construction
D. Bacterial Analysis
7. Sewage Disposal System:
A. Installed
B. Installer
C. Septic Tank: 1. Size
2. Manufacturer
D. Seepage Pit: 1. Absorption Area
2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank
, Absorption area
, Sewer Lines
Nearest lot line
Other contamination
B. Foundation to septic tank
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Re~st for Approval of Individual Y~-"er & Water Facilities
Comments
D1 sapproved Date
('~ ~ ! Approval Valid for one year from date signed
Greater Anchorage Ar~a 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)
GR.A/~.R AnUitOI,'AGE AR[:A aoRUUGH
Department of Environmental
"C" St,, Anchorage, Alaska
BUYER: EBENEZER, RICHARD E.
Home On Friday's - Call before going
272-0163
OR CONTACT SELLER: NADINE KNOBLAUCH
Qual i ty ~
~zTIES
August 27, 1975
CONV
5Y. Phone c/o 272-0163
Anytime - 333-2215
Phone 272-0163
~one 274-1521 y
Legal Description:
Locatio~l'.
Lot 22E, Woodland Park Subdivision
3506 Willow St.
.Anchorase, Alaska 99503
7. Type of Facility to be inspected:
8. Water Supply
Duplex NO. Bdrms. 4
Type of Supply: Public Ut, ility
Iodividual x
if Individual, number of dwelling.s presently .serv. ed .2
if Individual, depth oi: well
Sewage Disposal. Sys/:em .
Type .of S~stem: Public U'~ility .. ,X.'. Individual
if Individual, date of installation
on-site)