HomeMy WebLinkAboutPALOS VERDES BLK 2 LT 19ICl
Date 2eceived Nov 5, 1974
Time ~)f Inspection
Date of inspection
REQUEST FOR APPROVAL OF
I,DI,~Du,=L SEWER &
FOR
Conventional
Approval requested.by: Smileys Realty
Mailing Address:
2. Property Owner:
Mailing Address:
'3. Legal Description:
4.- Location:
Nov 5, 1974
Box 1086 Eagle River 99577
H,& H Construction
Phone:
Phone:
694-2114
.Lot 19 Block 2 Palos Verde Subdivision
~ype of facility to be inspected
Well Data: COMMUNITY WATER SUPPLY
A. Type
C. CJnstruction
Sewage Disposal System:
Ao Installed
C. Septic Tank: I. Size
D. Seepage Pit: l. Absorption Area 2.
E. Disposal Field: Total length of ijnes
Distances:
A. Well to: Septic tank , Absorption area
Nearest lot line , Otimr conta~H;mtion
No. of bedrooms
B. Depth
Dacuc,,al Analysis
PUBLIC SEWER SYSTEM
B. Installer
2. Manufacturer
Material
, Sewer Lines
B. Foundation to seotic, t~n~.~"
'C. Absorption area ~o = .... ;'
.,c~.re~ lot line
Page 2 of two pages - R,i ~est for Approval of Individual
wer & Water Facilities
Legal Description
Lot 19, Block 2 Palos Verde Subdivision
Comments
APProved~~"~-~'.//~j Disapproved Date Nov 5, 1974
Approval ~Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily..~
SIGNED Date
EQ-034 (1/74)