HomeMy WebLinkAboutVALLEY VIEW TERRACE BLK 3 LT 8VA LL 'y
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Eagle River
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received
Time of Inspection 11:30
Date of Inspection 7-12-76
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
4.
5.
6.
Tim Swan
Phone:
Phone:
Legal Description:
Lot 8 Block 3 Valley View Subdivision
Location:
Type of facility to be inspected
Well Data:
A. Type
C. Construction
Sewage Disposal System:
A. Installed
C. Septic Tank:
D. Seepage Pit:
E. Disposal
Distances:
A. Well to:
No. of bedrooms
1. Size
1. Absorption Area
Field: Total length of lines
B. Depth
D. Bacterial Analysis
Septic tank
Nearest lot line
B. Foundation to septic tank
Installer
2. Manufacturer
2. Material
, Absorption area
Other contamination
, Absorption. area
, Sewer Lines
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 of two pages
Pa'ge:~ of two pages - Kec ~,t for Approva~l-of Individual . .r & Water Facilities
[e~l Description
Comments
Approved
Disapproved Date '~,r) Ii' ~. .... -j
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 satj.~factorily.
SIGNED
Date
EQ-034 (1/74)