HomeMy WebLinkAboutKWIK LOG BLK 4 LT 8ol oq3 ,2
S~ tGE DISPOSAL SYSTEM - APPLICATI & PERMIT
Application to Install: Septic tank ~,'See a e it ~ '
_~ P g P ~, a~n
To Serve the Following Facility~
Financed Through To be Installed by
.....
BELOW TO BE FILLED OUT BY HEALTH DEPARTHENT
as described below, Size of unit ~o be served
DIS'rANCES:
Saptic tank size~ype.~./~&Seepage Area .......
.......... DIAGRAM OF SYSTEM
Health Authority
I certify that I am familiar 'with the requirements of Greater Anchorage Area Borough --
Ordinance No. 28-68 and that the above described system is in accordance with said code,