HomeMy WebLinkAboutT14N R1W SEC 7 Lots 69 & 70 Tract A
~RE^TER ANC!.tORAGE AREA BOROUGN .......
? Department of Environmental Qus!itv
35D0 Tudor ~oad, Anchor~Re, Alaska 995~7
Time of Insoec~ion
PEQJEST FOP A?cROVA~ OF
· ACL, IT
IN~YVID JA!.
F 09
1. Aoaroval Requested . .
Address
- Number of
Well Data:
C. Construction D, ~lacterial Analysis ~",',
7. Sewage DisooSal System:
A. Installed 8. Instal]er
C. Septic Tank: 1, Size 2. Manufacturer
D. Seepage.Pitt 1. Size 2. Material
Disposal Field: Total Length of Lines
Se
Distances:
A. Well To: Septic Tank ............. ,.Absorption Area __, Sewer Lines
, Nearest Lot line
Foundation to Septic Tank
Other Contamination ·
Ab§orotl en Ar~a /
C. Absorption Area to Nearest Lot Line
~ Re~ept for Approval of I~X~vidua~ Sewer & ~ater
9. Comme~s~ ~
Aporoved D~o~pproved Date
Approval Valid for One Y~ar F;com Date SSoned
Greater Anchoraqe Area Morouoh, D~rarSment,,., of .... ~,o..~..nt~] Quality
BIA¢~/~ OF SYSTE~(
I certify that the information contained in this request for approval to be a true
8nd accurate representation of the subject sewer snd water facilities located at:
Signed Date