HomeMy WebLinkAboutSOUTHWOOD PARK #1 BLK 5 LTS 15 & 16 W2
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
BSO0 Tudor Road, Anshorage, Alaska 99507 279-8686
Date Received
Time of Inspection
Date of Inspection
R~Q .... T FOR APPROVAL OF
INDIVIDUAl, SE~NER & WATER FACILITIES
FOR
t t
Phone:
Address:
Type of Facility to be Inspected:
Number of' Bedrooms:
A. Type 8. Depth--_
C. Construction
D. Bacterial Analysis'
7. Sewage Disoosal System:
C. Septic Tank: 1,
D, Seepage Pit~ ]., Size
~.~ Disposal ?ield: Total Length of gines
8. Distances:
A. ~ell,To: Septic Tank
B. Installer
2. ~anufacturer
2. Material
, Absorption Area
, Sewer Lines
, Nearest Lot Line
· Other Contamination
Foundation to Septic Tank 1'3, ~r "~ Ab§orption Area
Absorption Area to Nearest Lit Line~_~ ~ ~-
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Req~es.t..~or Approval of %/~,dividual Sewer & WaGer
Approval Valid for One Year From Date Signed
Greater Anchorage Area 8orough, Detriment of Environmental Quality
DIAGRA~,~ OF S_:YSTEIV'~
I certify that the information contained in this request for approval to be a true
and accurate representation of t.~ sl~.iect sewer and water facilities located at: