HomeMy WebLinkAboutPALOS VERDES Block 5 Lot 1
I. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
W~'GREATER ANCHORAGE AREA BOROUGH ~
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received 3/13/75
Time of Inspection
Date of Inspection 3/13/75
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
VA
Area Realty
Phone:
Phone:
3. Legal Description:
4. Location:
Lot l, Block 5 Palos Verde Subdivision
5. Type of facility to be inspected
6. Well Data: Community
A. Type
C. Construction
Sewage Disposal System:
A. Installed
C. Septic Tank:
D. Seepage Pit:
E. Disposal Field:
Distances:
Public
Single
1. Size
1. Absorption Area
Total length of lines
No. of bedrooms
B. Depth
D. Bacterial Analysis
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
B. Installer
2. Manufacturer
2. Material
, Absorption area
, Other contamination
, Absorption area
, Sewer Lines
C. Absorption area to nearest lot line
EQ-034 (1174)
Page 1 of two ,'~a~ie'.
Legal Description
Block 5 Palos Verde Subdivision
Comments
Approval ~Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
certify that the information contained in this request for approval to be a '~rue and
ccurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
Date
EQ-034 (1/74)