HomeMy WebLinkAboutT13N R3W SEC 26 NE4 Lot 13LoC
OO Tudor Road, Anchorage, Alaska
GREATER ANCHORAGE AREA BORUJGH
Department of Environmental Quality
99507 279-8686
Date Received
Time of Inspection
Date of Inspection
O~nl,:~T FOP APPROVAL OF
INDIVIDUAL S£;,~;ER & WATER FACILITIES
Legal
Type of Facility to be Inspected:
Number of Bedrooms: _
Well Data:-~~
A. Type C~~
C. Construction
Phone :~-~ -
D. t]acteria] Analysis
A. Instal/ed
~. Septic Tank: 1. Size 2. ~anufacturer
D. Seepage Pit: 1. Size 2. Material
Disposal Field: Total Length of Lines
8. Distances:
A, Well To= Seotic Tank
Absorption Area , Sewer Lines
· Nearest Lot Line
· Other Contamination
B. Foundation to ~,vt]c Tank
'> Absorption Area
C. Absorption Area to }.%arest Lot Line
Red, est for Approval of Individual Sewer & Weter Facilities
Pag? Two
9. Comments: _ ~-~: --_ _-..7-': ~~,~,,~
App~ova~ Valid £or One Year ~rem Date Signed
Greater Anchorage Arem Borough, Department of ~nuironmental Qu~ltty
DIAGRA~ OF SYSTEM
I certify that the information contemns~, in this request for approval to be e true
and accurate representat.~on of the subject sewer and water facilities loceted at: