HomeMy WebLinkAboutCAMPBELL HEIGHTS #1 BLK 8 LT 19oIq
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
GREAt Er ANCHORAGE AREa BOk~UGH
OTHER
SOIL TEST RESULTS
COMPLETION DATE ANTICIPATED
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
DIAGRAM OF SYSTEM
MINIMUM DISTANCES. REQUIREMENTS
FOUNDATION TO SEPTIC TANK ~
FOUNDATION TO SEEPAGE PIT
!
SEPTIC TANK.----~L~I SEEPAGE PIT
DRAIN FIELD
C~AST/RON~INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
GRAVEL BACKFILl.
NUI$~{CE COMPLAINT FORM
Complainant's Name:.,.
Street Add~ess:
Phone No._
Box No. ~-
.Description of Complaint:.
Name of Person Afalnst Whom Complaint is Made: ,~=-'~&,~.~
Owner of Property Where Nuisance Exists:.~ //~,'J/W'.~-~,~'~,~y f~/~_~
Owner'~ Address,_.~3~PJ ~:-~.~;~ ~ Phonc No. ~:~F?7-- ~JF~-
c o
S~ee~ Add~ess=
I cem~fy ~hat such sta%emenT of fac~s ~s true ~o ~he bes~ of my belief and know-
ledge. I ~equest that ~he foPegolnf mat~er b~ invest~ua~ed and that app~opm~a~e
action ~hereafter be taken. I am will,nE ~o Testify To ~he fac~s s%a~ed in ~he
foreEolng complaint in cour~ ~f necessa~.
Complainant
REPORT OF ACTION TAKEN
.~E COMPLAINANT WAS CALLED REGARDING DISPOSITION OF COMPLAINT:.