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HomeMy WebLinkAboutG A PHILLIPS ADDITION BLK 2 LT 4A61oC_ GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality "C" Street, Anchorage, Alaska 99503 274-4561 Date Received October 20, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: 4. 5. 6. Mailing Address: Property Owner: Mailing Address: Conv. Alaska Mutual Savings Bank % Chris Post Office Box 1120 Robert Johnson Phone: 274-3561.~ ~S. Phone: 694-2543 Box 456 Eagle River 99577 Legal Description: Lot 4 Block 2 G.A. Phillips Subdivision Location: Right on Coronado and left on Aurora Type of facility to be inspected Single Family Well Data: ~, ~ ~.~/'~ .~,~e~'~,~-~4~ ~ A. Type Co--unity ~~ B. Depth C. C0nstmucti0n D. Bacterial Analysis No. of bedrooms 4 Sewage Disposal System: A. Installed B. Installer C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank 2. Manufacturer 2. Material , Absorption area , Other contamination , Absorption area Sewer Lines C. Absorption area to nearest lot line Page 2 of two pages - Re~ 'st for Approval of Individual .~ mr & Water Facilities Legal Description Lot 4 Block 2 G.A. Phillips Subdivision Comments Approved~)f~,~.~ ~~2 Disapproved Date /'/-~ Appeal 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 October 19, 1976 1. Type of Inspection: CMRO 2. Property Owner: Robert Johnson VA FHA CONV xxx Mailing Address: Name of Buyer: Box 456 Eagle River~ AP. 99577 Ga¥]_ord and Dorothy Morro~.7 Day Phone: 694~2543 Mailing Address: 8604 Vernon Anchorage, Ak Day Phone: 4. Name of Lending Institution: Alaska Hutua! Savings Bank Mailing Address: P.0. B-x 1120 Anchorage, ak Phone: 5. Name of Realtor or Agent:. ;]one Mailing Address:. Phone: 6. Legal Description: Location: 344-1382 Chris Anderson 274-3561 L 4 .B 2 G,A. Phillips S/D Ri~dtt on Coronado and le:f:t on Aurora-- downtown Eagle River 7. Type of Facility to be Inspected: SF 8. Water Supply Type of Supply: Public Utility No. Bdrms. 4 Individual Community If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility xxx If Individual, date of installation Individual (on-site) 72-003(3/76)