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HomeMy WebLinkAboutMOUNTAIN MANOR BLK 1 LT 5 MUNICIPALITY OF ANCHORAGE i DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME~-.~ lPHONE /L~EW MAILING ADDRESS LEGAL DESCRIPTION LOCATION ~ -~ NO. OF BEDROOM~ Absorption area~ / Dwelling PERMIT NO. , '7 ~ ~ Mate~ No. ~(~ Z Manufacturer ~ of compa~nts Liq. c~i~allons IF HOMEMADE: Ins,~ ~ ' uid dep ~O ~ DISTA~ Well~ Dwelling ~ PERMIT NO. ~ Well Foundation ~ Nearest lot line /O [ PERMITNO. /0 0 -¢ ~ No. of lines Length of each li,~ Total length of lines~ Trenct] width Distance between ~ - 0~ ,~G inches O ~inches ~ Depth PERMIT NO, Length~ Width ,~ ~;:r~;ETO. ~ Cribdiam~Ty ofcrib ~ CribOe~~Otaleffect~~ ~ CI,~ Depth Driller Distance ,o lot ,i2e 0 P E R MIT, O. ~ ~ DISTANCE TO: Building foundation Sewer line Septic tank ~O 0 Absorption area(s) OTHER PIPE MATERIALS ,~r SOIL TEST RATING ~ - REMARKS 4 ~' - qq '1 I , AP~ ~~¢ DATE LEGAL OSE GEO'-ECHNICAL 8- DEVEL nPMENT Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 CO. Russell Oyster Earl Ellis 694-2774 SO[ L LOG r~-2~ Soils ~t Foundalions Land Development C' /' Performed for: Name: Tel. No. 4 ~- q'7/3'- Legal Description: Depth {,feet} 3 4 5 6 8 10 , 12~ $o11 ~heracteristic) Ground Water Encountered: Yes Proposed Installation: Seepage Pit__ Comments: __ No ~/ ~f yes, what depth Drain Field Date: 0 0 0 0 0 0 0 0 0 0 0 0 .< Z ? This well is producing/_~.v-~x_ 9allons of water per hour. INVOICE SR BOX 668, BOGARD RD. .' TELEPHONE 745-4071 Set pump @~'~?-~Ofeet .NVOICE NO, If4~ ~1 DEPTH i )EPTH DEPTH IN FT. CASIN FORMATION ~N FT. CASIN FORMATION IN FT. CA$1N FORMATION __~ . 102 / ~ 202 ' 103 203 1~ ~ 107 207 ~ '108 208 ~ ~A 109 ~09 ~10 IlO 210 ~1 111 211 ~2 ~ 112 212 1~ ~ I[~*~ 113 213 ~14 v, -~-~ 114 214 115 215 15 118 216 ~6 11~ 217 ~17 11~ 218 ~IB 119 219 __19 120 ~20 ~0 121 221 ~1 12~ 222 _23 128 2~3 24 ~/ 1~4 126 226 ~ ~ 12~ 227 ~ ~ ~28 228 ~39 ~ 129 /~ 229 80 ~~ 131 ~ ~ ~,4 231 ~1 / · ~3o I~ ~ ~ 2ao __83J ~'A ,~ ~J 132 '' ~ 232 3 ~ ~ CVI 133 233 84 /% '134 234 135 235 __05 136 236 ~6 137 237 __87 138 238 38 ~89 ~ ,A .. ] 139 239 ~40 ~a~ 140 240 ~41 141 241 ~,s 142 242 143 243 ~la 244 ~44 /~h. ~ _ 144 ~ , 825 I.. St r' e~.?.H:., Anchcn"age, A1 ask.r:~. 9950 1 343.....47;:~'~() Owner- Name C)~..,n"~e? Addr'.ess W Ii!i: I.... I ....F:' Iii!: R M :[ T Lo't. I...~i?ga:l. ~: Subd :i. v:i. s:Lc~n ~', MOUN'I"AUN MAI',INOR Lot. Sect. :i. c)n: 6 T(::)wn sh :i, p: 14N Range ~ t.o{. S :i. z e 5;:?()3':;' (s I::l ,~ I' 'l~. ,, o p a~'.:: ~" es ) W[!::LL. MU~!ii"l" hlC!T BE L.O[?,A I"L:iZ:D W I "l'l"l I Iq I l"'ltii!i LJI' ]: l.... ]: J"¥' J!iiASEMlii!Zl'~.Jl" ,, ] I...J I Plii!]:i'.H]:'l' I S F:OI:;t A S]:NGL. Ei F::AM] LY RESZI:DENCE ONLY, AND EXP ]:RE~!i.', Ol'q /:51 i~39 ,, :J ,,]: atl~ J'am:i ]. :Lap ~:i.'(t.h '!'..he i~l.':.~l::JLL:i.r'em(.:~.)¥'YL!~i~ {'(::)1" on"'"~.~:i.'t.e sewem'~s and {c:u".th I::ly 'Jt.l"i(~ Mun:i. cipa].ity oi' Anchor~age (MOA) and the State ~::)~ A'~laska,, 2.,, I ~,x~i 1 ] :instal 1 the system :i.n accc:n'~dar~c(.~t ~.~:i.'Lh al 1 MO~ [::(::)d,)?..)s <':~J'](::l · and in ,':::c)mp].:i. arJce with the c~esign cr.:Lter~:i.a J::)(' 'Lh:i.s pe~'~m:i.t,, :~;,, ]: ~.~:i. ll a(::thei'~e 't.c:) alI MOA and State (::)~' Alaska r'equ:i.~'~ements ~'(::n'~ the set back d:is'Larl,::::es Fr. om any exist:Lng ~.,~,~:~].l, J~astewat(!.:.:,~~ d:i. sposal system (::)r' pub]:i.c sew(.~n"-age sys't, em c~l"~ 'Lh:i.s ~::)r~ any acl.jacer~t or~ i']eapby ]C)'~'..~ a:I. SO under'st..ar'n::l that. the capac:i, ty ~::~ the 'l'..crL. al sys'l'..~):.,rt~ :i.~!~ 3 any en:l. ar'gement w:i.].l r~.~,qu:i.r-e an add:i.t, ional per'mit,, ~ DA'T ~' RECEIVED INSPECTION APPOINTMENTS ~,~_~~ ~, ~ TIME TIME TIME DATE ~ DATE DATE ,MUNICIPALITY Ot~ ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT OF HEALTH &  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~/iRON~ENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION NOV :l 6 1979 Telephone 264-4720 ' REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW~IRr'F~L~I)t/~ L~iL) DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten (10) days for processing. 1, PROPERTY OWNER I PHONE MA~!.:I NG A [~ DB,~SS 2. BUYER PHONE MAILING ADDRESS 3. LENDING INST, ITUTION PHONE MAI L~~' 4. REALTOR/AGENT I PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS ~ One ~ Four ~ SINGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six [] Other 7. WATER SUPPLY ~5~.. INDIVIDUAL~ [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~. INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. November 19, 1979 Wesley T. S~verson Star Route 2 Box 7346 ~]agle River, Alaska 99577 Subject:~!~*~ 5 ~lock- 1 i~ountain ~...{anor Subdiwtsion Approval for your n~lvl~ual sewer and water fa~ilitmms can not be grante~ until the following items hava been completed~ The ~;ater analysis report be delivered to t]lis office fron Chem Lab, 5~33 B Street, for our review. (2) A w~ll log uDmltted to this office for our r~view. If there are any questions, please contact this office at 264-4720. Sincerely, 1~bert C. Pratt, Associa,he ..,p~cialzst RCp/lJw First National Bank of Anchorage Eaq!e River Branch Post Offic,~ Box 548 99577 / :~nouoD SaOTA:~a$ a~TS-uo :~aeUTf)U~ ITATD q~o~ '£ IaTued · ~u~maaedsp sTqa mo~ ieAo~dd~ ~aq~oue Ao ~am @q samueasTp uoT$e~d~s IIe ~Tnbsa iiT~ ~aU~Ta o~ ap~Bdn a~n~n~.Xu~ 'XIUO uoT~edas IIa~ o~ m~sXs my~d~s buT~sTxs ~q~ o~ s~TIdd~ I~Ao~dd~ ~@AT~ sTqA · ~ ~o% uo DT~das aq~ o~ ~ ~o~ uo iI@~ aMS moA~ ~aa~ I6 sT aDu~sTp UOT~e~ed~s paAoldde ~q& · paAo~dde usaq seq IIa~ a~eAT~d ~ o~ ma~sXs sTUd,s e ~o UOT~eaedas iP~uozT~oq ~oo~ 00I Pa~Inba~ ~ ~o AaA7~ Ao~ ~sanba~ ~nox ~E-I£9-0§0~ ~Id '8E0016HM9 as~nbaA Q/S AoueN uTe%unoN I ~moIS § ao% Ao~ ~s@nbaA AaATeM :~oa~qns £9§66 ~seI~ 9EOI xoE 8£ DH 0~99-6LS66 e~selV '@§eJoqou¥ 0cj9961. xo8 'O'd  seo!AJeS uecunH pue qileeH 1o iuecuiJedeo a ,eaoq uV TI415 I~ F~TN~i~ 1~Ig/~RTF-D R Y r~£ }rt~¢~ TH~;r D. R. DAYTON, P.E., R.L.S. HC 78 Box 1026 Chugiak, Alaska 99567 July 8, 1991 (907)~=241~- Municipality of Anchorage Dept. of Health and Human Services 825 L Street Anchorage, Alaska 99519-6650 Re: Lot 5, Block 1, Mountain Manor Subd. In response to your recent letter to the Seversons regarding the well to septic system distance between thier well and the septic system on Lot 4, Blk 1, we are submitting a risk analysis, coliform test results and nitrate analysis. Please review the attached data and grant a waiver to a distance of 91 feet. It is our opinion that the 100 ft. separation distance is not required in this case. Joly 8, 1991 WAIVER REQUEST WELL TO SEPTIC SYSTEM SEPARATION DISTANCE Ref:D.E.C. "Separation Distance Waiver Guidelines" Well Location: Lot 5, Block 1, Mountain Manor Subd. A. Water Table; 86' below ground, less 8' depth of septic = 78' B. Soil Sorbtion: From well log, gravel & sand, Clay (most probably silt) (81/86 x 1.5)= 1.4 (5/86 x 3.5)= 0.2 C. Permeability: Gravel & sand Clay (silt) (81/86 x 1) = 0.9 (5/86 x 2) = 0.1 D. Water Table Gradient: Slopes away from well, 101' well - 65' W.T. 91' dist. = 40% E. Horizontal Separation: 5.8 Pts. 1.6 Pts. 1.0 Pts. 6.6 Pts. 2.6 Pts. Total 17.6 Pts. Other factors: Ground and bedrock slope away from the well. Waivers have been granted to Lot 1, Blk 1; and Lot 5, Blk 2 Mountain Manor Subd under similar conditions. CHEMICAL&GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 3el~d }[eporis i:o: 1 }htdlI ~ DA~i'ON, {' Member of the SGS Group (SociOt~ a~n~rale de Surveillance) TELEPHONE (907) 562-2343 5633 B Street Anchorage, Alaska 99518 Drinking W ter Analysis Report for Total Coliform Bacteria TO BE COMPLETED ,BY WATER SUPPLIER ~PRIVATE WA~TER SYSTEM Mailing Address ~ , SAMPLE TYPE: '~outine heck Sample (for routine sample with lab ref. no. [] Special Purpose _) [] Treated Water ~ Untreated Water SAMPLE NO. 3 I s I LOCATION Time Collected Collected By TO BE COMPLETED BY LABORATORY Date Received Time Received Analytical Method: Analysis shows this Water SAMPLE to be: [~Satisfactory [] Unsatisfactory [] Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Membrane Filter * No. of colonies/100 mi. BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Membrane Filter:. Direct Count ~ Verification: LTB RGB Final Membrane Filter Results (~) Reported By ~-'~-.~ -~ ~'-~-,~<'- Date Time: TNTC -- Too Numberous To Count OB = Other Bacteria Coilform/100ml Coilformll00ml PART ONE OF TWO REMAINDER TO FOLLOW D. R. DAYTON, P.E., R.L.S. HC 78 Box 1026 Chugiak, Alaska 99567 (907) 696-2417 November 5, 1991 Municipality of Anchorage Dept. of Health and Human Services 825 L Street Anchorage, Alaska 99519-6650 Ref: Lot 5, Block 1, Mountain Manor Subd. Well distance waiver request Transmitted herewith is a site plan for the properties involved, well logs of several in the area and a narrative of the conditions involved in the waiver request, DSa~vi~erely '/~ 'd R. Dayto~ ' LOOP 18412 12301 OUTLOOK CIR. 18942 18840 18910 UPPER McCRARY RD. teeee I 18920 19roi 191 ~9 UPPER SKYLINE DR 192H4 NW 254 Eagle River/Chugiak Area Reference Map--lC 86 ~(~>- 88 ¥ 94 87 COPYRIGHT 1989 JMR SULLIVAN WATER WBI~S . ,~' I/~'~ ,4 ~J'T. OF WELL _--,~ l~d d4; JC d4~ ST4TIC LEVEL OF W&TER FT. ~TE.lamd GALS. 4 DPJIL~R'S NAME _ t © !' 0 FOIMA?ION ~ I~O~MATION CAMII FOIMAllOII OWNER OF LAND ADDreSS ~'T I.EGALDF. SCRIrrloN ~ ! ~R~rr ~a~,.,R 7.7 o ? 7 o KIND OF FORMATION: FM ~ Ft. lo/~ Ft. ~0 ~ ~~ F~ Ft.~ Ft,, · Ended ~~ GALS. PER HR KIND OF CASING · From,,,,, Ft. lo , , FL. From From Ft. tn Ft., From"' Ft. I~ Ft. Ftoat .......FL t~ Ft. ,,, Ft. Fmm , Ftn~ Fmm., From Fi FI. to Ft. Ft. I~Ft. ... Ft. to Ft. .FI. to- Ft. Ft. to FL .... Ft. to Ft., Ft. to., Ft. .. Ft.~o ,. Ft. Ft. tn FI, by A & L DItlLLING COMPANY BOXST. EAGLERIVEII. ALASICAOSGT? · TELEPMOI~S84.1gll ADDRESS ~o ,~ Io6~. ~c.~- ,~',u,~*,~. LEGAL DF.S~RIPTIOI~(...,,~ .~_~ ~ '~";-P-u'u~-~'"'~'~'-~--~"f---~'~'~'~DRAW DOWN FT. DEPTH OF WELL STATIC LEVEL OF WATER FT. DATE.Stoned ~/,~,//~.,,c., Ended _~.~/7~ _ KI~D O£ £ORMATIO~: From_ ~ Ft. to_/ Fmm_,~"~, Ft, to_q'~ Ft.~ ~','r,~ff f~' ~K~-"-~.~, From__ GALS. PER HR _ ~nO Ft. to_ Ft. to F~ Ft. FL From Ft. to ,., Ft. From Ft. to Ft. Ft. r From Ft. to ~ Fl ..... Ft.- From _. Ft. to Ft. FI.- From_ Ft. to_ Ft. , Ft.- From Ft. to Ft. - FMm_ Ft. to - Ft. ~_ Ft. From Ft. to__Ft. FI. From_ Ft, to Ft._ From~Ft. to FI~ _Ft, to_ , From L.~ ~ Ft. SULLIVAN WATER WELLS P.O. BOX 6~02l'~ CHUOIAK. ALASKA ~? * TELEPHONE LEGAL DESCRI~iO~o~~ ~__~O~ DATE · Slafl~ ~/~ Ended ~ PERMIT numn r I)EI'TI! OF ~I:LL .~T.% i'1( I EVELOF ~'ATLR FI'. I)R.A~s DO~'N FT. GALS. PER HR KIND OF CASING KIND OF FONMATION: From .... Ft. lo_ Ft. ~ __ From Fmm~FI. to~e FI~_~.~ .... From Fl. Fmm-~, Ft. t~ ~ _FI.~ ,.~.~.~_~_~ From Fl. lo, FMm~FI. to~_Ft .... ~ From__. _Fl. Fmm.~Ft. toll3 FL ~'~ 6,~_.~ From._ _FI.I. F.m .... Ft. lo , Ft. ~d. 4~.__:.~._~ From F~~Ft. to~Ft.~__~~.~ From ......... Fl F~__FI. to _FI.. ~ ' r~ From__._FI. fo____Ft. MILL, INFORMATION: FI. Fl.__ Ft. ' ' Fl .... .Fl, lo__ FI. PLEASE PAY FROM THIS INVOICI: I II I Iii ~I II , ~,, ~ 'I .... 1~ ,, , I '''' ' ' ~ " I ' ' ' i~ ' ' ~ ..... ~ ~ , r~ ~_ ' l~ ' ' ~ ' r ,, i ' ' I~ "' I' ' .... ,, , i~ ' I ....... ~.. ' I~ I ' ~.. ~ , , ,, ~ ~ , ....... ~ - l~" '" ~ ..... ~ ~ ~ ~ ' ,,,, -- ' I~ ~ ' ' I , ' , ' ," '[,' ' I~ ' ' ' I " I~ - , , , i " ~~ III "' ~1 " ' ' I~ , , ~ , DI3,TN , D[PTH DiP{~TH M i~T. 'O C&IU4 ffOAMATIO~ CAS~ FOAMA~ON CA~ FOIMATIO~ ~.. ,. ~ -~ ~ ~ ~ ".~.. '~Y.:_ i ., I~' i ... ~o ,, ~ , no '" I ~ll. . j ill ~6 , · ~i' Iii IlS" ~l ~ ~.'.,~ ' 110 ~ ~,% IO~ ,, , , , ~ ,,I ~ ~. IM ,~ , , , , ,, ,.~ , . ~.,~ I~ ~ , , , , , __~ ~P/ 'l~' ~ , ,,,, ~ _; , ~ , ~ ~ a~ .. , , , ~$~ ' , , ~ , , ~ ~ ~ , ,, 141 ' 141 · m ~ ~. ' I~' ' ' m , , ~ ~ ~ , ,, ,, ~ ~ ..... ,. ..... All" ' , ~: " ' I~ ' ' ~" ' ' ' ' ., , ..... ,.,, ., , , , {~ ~ .... l{ ~,~ , , Ill ' '" lei ' ' ' ~ ....... I 'Jill I~ ' " ~ ' '" ,, ,, W: -- IN , , , '~ - I I~ ' ' ~ , u ....... i~;:.'l , .'. , t : ltl " " ' ~l " , lt8 , , , _ ~ ..... '~ ' ' ' "" ~, '  , 8~{ ...... , ~ ,,,,, , , ,, , , , , {~ , ~ . ..... I{{ ' ' ' ' ' ' ~{ =_ . I~{ ..... ' {S{ ,, ~ - , .... , " ' I~ " " "' {~ " 'M~ /~ JH ....... '0~ ' " ' ' ,W [ I# lie ' ,el , , lei IOI ..... ' jjj" ...... .."'. ...-, ~? ,, , · ~ MUNICIPALITY OF ANCHORAGE ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street. Afl~hor~e, Alaska 99501 TelephoM ~ ~.720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~-~,b DESCRIPTION LOCATION DISTANCE TO: DISTANCE TO: Well IF HOME. MADE: Well Imide length Dwelling inchet jNo ~BEDRoOMS No. o4~omplr t~rlll Liquid de~th PERMIT NO. in gellom Dkle~ betw~ ltne~ UPGRADE ~ DISTANCE TO: Crib Building fo~r~&;;on OTHER .b~omtlo~ ,.~.--~ lot 1o lot Septic tick AM~p;ion ~2Q13 IRev, 3178l DATE LEGAL ./ DA~'~ ~ RECEIVED INSPECTION APPOINTMENTS ~0~L~L~)~.._~ TIME TIME TIME DATE ~ DATE DATE MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT OF HEALTH &  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~i~iRON~ENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION NOV 1 6 1979 Telephone 264-4720 ' REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW~F~LJ')I~ ~ DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10} days for processing, 1. PROPERTY OWNER I PHONE MAIl'lNG ADD~ESS PHONE 2. BUYER PHONE MAI LING ADDRESS 3. "LENDING INST, ITUTION , PHONE MAI LI N.G, ADDR ESS' 4. REALTOR/AGENT I PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF,.B EDROOMS [] One [] Four [] Two [] Five ~ Three [] Six [] Other 7. WATER SUPPLY ~3.. INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG, A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM ~. INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2. WATER SUPPLY PERMIT NUMBER [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER F-IINDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY //_) ~,-~ ~ Connection Verified INSTALLER~'' ~-. C~.~ [~]Septic Tank or []Holding Tank ~ Size: If Tank is homemade SOILS RATING give dimensions: I~..~ TYPE OF TANK MANUFACTURER ~ . TOTAL ABSORPTION AREA MATERIAL Absorption Area to nearest Lot Line 5. COMMENTS ', [~"~'i~PP ROV ED FOR .~ BEDROOMS ~'.-..[] ~ONDITIONAL APPROVAL (tetter must accompany certificate) [] DISAPPROVED /,~ DATE BY