HomeMy WebLinkAboutT15N R2W SEC 12 Lot 9
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received September 18~ '73'
Time of ~nsoection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WAI]fR FACILITIES
FOR
/Conventional
1. Aoproval Requested By: Area Rea]ty
Address~
Phone:
2. Prooertv Owner: Chugiak Methodist Church
3. Legal Description:
4. LocstLon: Lot 9~ Sect 12T15N~ R2W~ SM
5. Type of Facility to be Inspected: Single Family Dwellinq
Number of Bedrooms: Thre9 (3)'
'7.
Well Data:
A. Type Drilled
C. Construction
Sewage Dtsgosal System:
A. Installed 1973
C. Septic Tank: 1.
D. Seepage Pit: 1.
E. Disposal Field:
Distances:
Ao Well To:
B. Deoth
D.
Phone~
Bacterial Analysis Satisf -t- - .
B. Instmller polyefco
Size ]~00 Gals2. Manufacturer Stack
Size 2. Materiel gruel'
Total Length of Lines
· Sewer Lines
Septic Tank 100' , Absorption Area
, Nearest Lot Line 20' , Other ContaminatiOn
8. Foundation to Septic Tank__ "> Ab¢orption Area
C. Absorption Area to Nearest Lot Line
~ReqLrast for Approval of' .ndivi~ual
Page Two
9. Comments:
Sewer & Water Feoilit~.~s
Apor
Approval Valid for One Year rom D~te St~ned
L/Greater Anchorage Area Borough, Department of ~nviro~mental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for appreval to be e true
and accurate representation of the sub.iect sewer and water facilities located at:
Date