HomeMy WebLinkAboutWONDER PARK #1 BLK 3 LT 12hot
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99507
279-8686
DATE RECEIVED:
INSPECT: //2~_/'~.~.__ __
TIME:
RE~JJ_E_~T FOR APPROVAL OF
INDIVI'DO~[:~WER AND WATER FACILITIES
FOR
1. APPROVAL REQUESTED BY:
ADDRESS:
PHONE:
2. PROPERTY OWNER:
3. LEGAL DESCRIPTION:
4, TYPE FACILITY TO BE
NUMBER OF
WELL DATA:
A. TYPE
B. DEPTH
C, SIZE
D. CONSTRUCTION
E. BACTERIAL ANALYSIS
SEWAGE DISPOSAL
A. SEPTIC TANK
1. SIZE
2. AGE
SYSTEM.:
(IF HOMEMADE, SHOW DIAGRAM
ON BACK)
3. MANUFACTURER
4. 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 MEASUREMENTS
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. COMMENTS:
APPROVED: DISAPPROVED:
DATE: DATE:
APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED.
GREAI'ER ANCHORAGE AREA BOROUGH DEPARTMENT OF
ENVIRONMENTAL
QUALITY
S pol~: ~q ~t C~ ~'tor, t.qage
SubJoC~: D.pl~x on Lot 12, ~lec~ 3,
Wonder P~rk
Subdivision.
The subject lot is connected to City ~.)ater. This office
to the available public ' o, or before Juno 1~, 197~,
~f yo~ h~vc, ~,y q~cstlo~ regarding
hesitate to contact tht~
$1 ~tce rc~ly,
Lynn $. Coad
E r~vl rom, F:.p.t a I Specialist
cc: Robert flood
VA