HomeMy WebLinkAboutLot 04
GRE,'
'ER ANCHORAGE AREA BOP"~JGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPFCTION REPORT ON-SITE SEWAGE DISPOSAl. SYSTEM
LOCATION
SFPTIC TANK:
NUMBER OF /
COMPARTMENTS __
INSIDE LENGTH
INSIDE WIDTH
__LIQUID DEPTH
_LIQUID CAPAC ITY~/C)~¢ GALLONS.
NUMBER OF PITS '~. ~qZIZN..~METER OR WIDTH , LENGTH , DEPTH
LINING MATERIAL I__ _ CRIB SIZE: ~A'MEq:ER_L..~ DEPTH DISTANCE FROM: WELL
T~ EFFECTIVE
BUILDING FOUNDATION__ , NEAREST LOT LINE . AI3SORPT-~N~_~ALL AREA)
ADDITIONAL ABSORPTION
SQ. FT.
WELL:
CON~rRUCTION_
BUILDING f_L/ NEAREST NEAREST
FOUNDATION ~ LOT LINE SEWER LINE
CESSPOOL OTHER SOURCES
APPROVED. _ DISAPPROVED REMARKS
DEPTH
DISTANCE FROM:
SEPTIC SEEPAGE
TANK SYSTEM
DISTANCES:
INSTALLED BY:
PIPE MATERIAL:
LOT SLOPE:
REMARKS: ~";l~/'h? t%2[2 ~
Form No, EQ-031
DIAGRAM OF SYSTEM
GREATER ANCHORAGE: AREA EIOROUGH
DEPARTMENT OF ENVIRONMENTAL {:~UALITY
PERMIT NO._
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND P£RMIT
NAME OF APPLICANT , / , MAILING ADDRESS PHONE~/~~__~
i~IM~uEPTIC TANK SIZE TYPE
FOUNDATION TO~C TANK ~
GRAVEL BACKFILl-
CONFORM TO BOROUGH REGUL ONS REGAROIHG INSTALLATION,
SIZE - TYPE
DIAGRAM OF S~EM~//~
I CERTIFY THAT I AM EAMILIAR W[TH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.6~3 AND THAT THE ABOVE
DESCRIB D SYSTEM IS IN ACCORDANCE WITH SA]D CODE. ~ ~
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FII='F'L ]:E:FIN~ I:;'ETR(;:~ F'I;;:ODUE:¥S.
January 4,
1982
Petro Products, Inc
Box 1311.3
Anchorage, AK 99510
Permit ~ 811124
Subject: L4 SEC
A permit issued
4 T12N R3W
by this department for a well and/or sewer
system has expired as of December 31, 1981.
Permits are issued on a calendar year basis, as stated on
the permit, by authority of Municipal Ordinance.
If you have drilled the well., a well log should be sent to
this department to document the installation date.
If an engineer inspected the installation of the on-site
sewer system, please have them send us the as-builhs for our
files.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
Sewer and Water Program
Enclosure: Copy of Permit
· : :
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