HomeMy WebLinkAboutELMRICH VILLAS Block 2 Lot 1
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor ,qoad, Anchor~gs, Alaska 99507 279-8686
Time of Inspection /~,'/~
9EQ'.,'EST FOR APuROVAL OF
.T.,~!VIDUAL FE¢~ER & ~A/~.R F^CILITIES
FOR
Addres~ ~
3. Legel Description:· ~a~/ _~ ~
5.
Phone:
Type of Factlitv to be Inspected:
Number of Bedrooms:__
Well Date: ~
A. Type
8. Deoth
Bacteria] Analysis
Tnsta ! [e~
C. Construction D.
7, Sewage Di$9osal System.' ~
A. Installed ~.
C. Septic Tank: 1. Size 2. Manufacturer
D. Seepage Pit: 1. Size 2. Material
E. Disposal F~eld: Total Lenqth of Lines ,_. .
8. Distances:
A. Well To: Sentic Tank
. Absorntion Area .... , Sewer Lines
, Heare~t Lot line
· Other Contamination
Foundation to c ~
.:,..tt.c Tank
"~ Ab.~orDtton Area
Absorntion Are~ to Nearest Lot Line
Requemt for Approval of Individual Sewer & Water Facilities
Page Two
A rova~ Valid for One Year From Data Sfgned
Greater Anchorage Area 8orouqh, Department of Environmental Quality
DIAGRAM OF SYSTEM
/
!certtfy that the lnformatlon containe~ in thin request for approval to be a t~ue
and accurate repr.esentatJon of the sub~ect sewer and water facilities located at=