HomeMy WebLinkAboutCREEKSIDE PARK #3 LT 27,0, N°--3
2.7'
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3500 Tudor Road, Anchorage, Alaska 99507 279-8686
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SENER & WATER FACILITIES
FOR
e
A. Type
C. Construction
7. Sewage Dtsoosal System:
A. Installed
B. Depth ........
8. Installer .....
2. Manufacturer
C. Septic Tank: 1. Size
D. Seepage Pit: 1. Size 2. Material_
E. Disposal Field: Total Length of Lines
8. Distances:
A. Well To: Septic Tank__
, Nearest Lot Line
B. Foundation to Septic Tank
, Absorption Area , Sewer Lines
· Other Contamination ·
· '~ Absorption Area ·
C. Absorption Area to Nearest Lot Line
~,ec~uest for Approval of ~dividual Sewer & Water Feetlitfe~,
Page Two
9. Comments=
Apvroved~Disappr oved
Approval Valid for One Year From Date Signed
Greater Anchorage Area Borough, DeFartment of Environmental Quality
DIAGRAM OF SYSTE~
I certify that the information contained tn this request for appreval to be a true
and accurate representation of the subiect sewer and water facl!lttes located at=
Signed Date