HomeMy WebLinkAboutALYESKA BASIN #4 BLK 13 LT 7
INSPECTION APPOINTMENTS' i
I1NSPECTOR INSPECTOR INSI E R "-
DIRECTIONS;
i. TYPE OF RESIDENCE NUMBER
[--I SINGLE FAMILY [] ONE [] THREE [] FIVE { [] oTHER
[] MULTIPLE'FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2..WATER SUPPLY
[]- INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
[] PUB lC UT DATE DRILLED
'Connection Verified
3. SEWAGE DISPOSAL. S~fsTEM PERMIT NUMBER
[] INDIVIDUAL/ON -SITE
[]PUBLIC UTI LITY
_Connection Verified ~
ept~c~ank ~g Tank i
Size: If Tank is homemade so LS RAT NG '
give dimensions: , ' -
TYPE &F' TANK ' MANUFACTURER
TOTAL ABSORPTION AREA ' MATERIAL ' 'i
4 DISTANCES Septic/Holding'i'ank I/~bsorption Area Sewer Line
WELL TO' I I J -
Absorption Area to ~earest Lot Line
-~PPROVEDFOR, ~"-' BEDRmOOMay m n ',ertifi e
F-i~]'~ DISAPPROVED A let pany at
CONDITIONALApPROV L( termustaccom certific e)
.-4
6"'2
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