HomeMy WebLinkAboutEAGLE RIVER HEIGHTS BLK 5 LT 5
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Description:
4. Location:
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "¢" Street, Anchorage, Alaska 99503 274-4561
Date Received July 31~ 1974
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
VA or FHA
Charles Polak
P.O. Box 123 Elmendorf AFB AK
SAME
Phone:
Phone:
§94-2499
Lot 5, Block 5, Eagle River Heights
5. Type of facility to be inspected Single
6. Well Data: CONHUNITY
A. Type
C. Construction
Sewage Disposal System:
A. Installed
C. Septic Tank:
D. Seepage Pit:
PUBLIC SEWER
B. Installer
1. Size
1. Absorption Area
No. of bedrooms 6
B. Depth
D. Bacterial Analysis
2. Manufacturer
, Absorption area
, Other contamination
, Absorption area
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
C. Absorption area to nearest lot line __
, Sewer Lines ,
2. Material
EQ-034 (1/74) Page 1 of two pages
Page 2 of two pages - Requ~c for Approval of Individual S~
Legal Description ~ ~"~ ~. ~~
Water Facilities
Comments
Approve~ L~ Disapproved Date ','/~/
Approval Valid for one year from date signed
VGreater 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
Date
EQ-034 (1/74)