HomeMy WebLinkAboutLAKESIDE TERRACE LT 9A
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 Tudor Road
ANCHORAGE~ ALASKA 99507
279-8686
DATE RECEIVED
INSPECT:
TIME:
A. TYPE
B. DEPTH
C. SIZE
D. CONSTRUCTION
E. BACTERIAL ANALYSIS
SEWAGE DISPOSAL SYSTEM:
2. AGE
3. MANUFACTURER
SEPTIC TANK (If homemade, show diagram on back)
(.i u%:
INSTALLER
APPROVAL REQUEST FOR SEWER & WATER FACILITIES
PAGE TWO
B. SEEPAGE PIT
1,. SIZE
2. LINING
C. DISPOSAL FIELD
1. NUMBER OF LINES
2. TOTAL LENGTH
7. REQUIRED EASUREMENTS
A. WELL TO SEPTIC TANK
B. WELL TO SEEPAGE PIT
C. WELL TO SEWER LINE
D. WELL TO PROPERTY LINE
E. WELL TO OTHER POSSIBLE CONTAMINATION
F. FOUNDATION TO SEPTIC TANK
G. FOUNDATION TO SEEPAGE PIT
H. SEEPAGE PIT TO PROPERTY LINE
8. COMi~ENTS:
DISAPPROVED:
DATE:
APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED.
GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY
KASSLER/WEST MORTGAGE CORPORATION
604 EAST SIXTH AVENUE .ANCHORAGE, ALASKA 99501., 212-9501
Gert t 1 emen:
Per the attached £o'rm, we hereby request inspect[on For llealth
Authority Approval.
PI. ease send your £indings to e:Lther the FIIA offices or the VA O££ice
as noted above for the "Case Number'.' Also, please send an exact
copy o£ the report to our o££ice.
Your swiftness in expediting this request ~,,ould be most appreci, ated.
Sincere ly,
If you wi. sis to m~>poil~tmcnt before inspect].on, please cai~l