HomeMy WebLinkAboutT15N R1W SEC 18 E4 Lot 3
GREATER ANCHORAGE AREA BOROUGH
Departmert of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received October 19,
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
PERC TEST
1976
10:00 a.m.
Kennedy
Gibbs doing test
l. Approval recuested by:
Mailing Address: Phone:
2. Property Owner: Ganoe Phone:
Mailing Address:
4. Locationr; ~7
5. Type of facility to be ~J~spected No. of bedrooms
6. Well at~.. ~
A. Type .... B. Depth
C. Construction D. Bacterial Analysis
7. Sewage Disposal System:
A. Installed B. Installer
C. Septic Tank: 1. Size /0~9~.) 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank ., Absorption area
Nearest lot line , Other contamination
B. Foundation to septic tank , Absorption area
C. Absorption area to nearest lot line
Legal DescriDti0n: T15N R1W Section 186.E¼ BLM Small Tract Lot 3
, Sewer Lines
EQ-034 (1/74) Page 1 of two pages
Page 2 of t'wo pages - Re'
Legal Description T15N
~St for Approval of Individual ~er & Water Facilities
R1W Section '~§ NE¼ BLM Small Tract Lot 3
Approval \Valid for one year from date.signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM /~D--3
certify that the information contained in this re~est for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are ooerating satisfactorily.
SIGNED Date
EQ-034 (1/74)