HomeMy WebLinkAboutSCHROEDER LT 5555
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GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received May 20, 1976
Time of Inspection
/A
Date of Inspection')-
i�U REQUEST FOR APPROVAL OF (1� �-
INDIVIDUAL SEWER & WATER FACILITIES
(>� FOR
S VT A.
1. Approval requested by: Piational Bank of Alaska
Mailing Address: Post office Box 600 Phone: 274-1621
2. Property Owner: William E. Fischer Phone:
Mailing Address: Eagle River
3. Legal Description: Lot 55 Schroeder Subdivision
2�s
4. 1nratinn- top of Hill behind Proctor's store
5. Type of facility to be inspected Single family No. of bedrooms 4 _
6. Well Data:
Individual
A. Type B. Depth 92'
C. Construction D. Bacterial Analysis
7. Sewage Disposal System: On—site system
A. Installed 1964 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 q 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 - Ref st for Approval of Individual F er & Water Facilities
Legal Description
Comments
Approved
Lot 55 Schroeder Subdivision
Disapproved
to 717/ �/
Approval.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
EQ -034 (1/74)
Date
Ad.AIICIpbLI"i 'i :` ;,.`•iq l!O!iAC=ii
MUNICIPALITY OF ANCHORAGE n
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276.2221
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATE13 FACILITIES i 5, • ; ; -�
1. Type of Inspection: CMRO VA FHA _CONV
2. Property Owner: wi /�- 144 L � sc� � }Z -
Mailing Address: Q2le- R, NZ Day Phone:
3. Name of Buyer:_14) 1 )-0 /7 low ey's Kip G -24 - e) 3
Mailing Address: /0 2`s W ru-r F�/e ?LLg&(z Day Phone: gf`l %1SL7
4. Name of Lending Institution: N Iq
Mai I ing Address: S29'p1)5 Ail k- Phone:_
5. Name of Realtor or Agent:
Mailing Address:
6. Legal Description: L ss
Location:
-/.11--2 0
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply
Phone:—
(`> ((>
.v /�vaA/C C'
No. Bdrms.�
Public Utility Individual—
If
ndividual
If Individual, number of dwellings presently served
If Individual, depth of well ny
9. Sewage Disposal System
Type of System: Public Utility Individual (on-site) _
�
If Individual, date of installation 6 'v _
72-003(3/76)