HomeMy WebLinkAboutALYESKA BASIN #4 BLK 13 LT 4
I.. ECTOR INSPECTOR
I E IR ~CTION', _
~ MULTIPLE FAMILY ~ TWO ~ FOUR
"~. wA~.~ ~;-~P'P~Y ' r "~'~'T"U~"E'
DEPTH OF WELL
DATE DRILLED
[] 1NDIVI DUAL
[] COMMUNITY
[] PUBLIC UTILITY
Conn~ection Verified ,
3, SEWAGE'I~I~'POSAL SYSTEM
[] INDIVIDUAL/ON -SITE
[] PUBLICUTILITY
Connection Verified __
[]Septic Tank or [] Hold ng Tank
Size:~D0. IfTank is homemade
give dimensiOns: .
TYPE OF TANK'
LOG RECE VED
PERMIT NUMBER
DATE INSTALLED
INSTALLER
SOl LS RATING
MANUFACTURER
~ DISTANCES S~ptic/Holding Tank" tArbsorpti0n Ares Sewer Line
, ' WELL TO: I , 1
Absorption Areato nearest Lot Line .
. - _
'~APPROV ED FgR ~ BEDROOMS .
~ CONDITIONAL APPROVAL (letter must accompany certificate)
" ~ DISAppROVED
DATE
. DESCRIPTION ~ '
72-010 (Rev, 3/78)