HomeMy WebLinkAboutSCHROEDER LT 35�Jch�'oecler
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Depaitnent ozLnvironTnen:al Quc, i:aGREATrR ANCHORAGE AREA BOROV 'a
3500 Tudor lioad - Pouch 6•65U �AREEW N o 925
Anchorage, Alaska 99502 REi�4 AkftS. =T;9.93��z '�mplskq
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING >D BC'V�_ PHONE
NAME � /�'rIR.N`#k`,'-r�J ADDRESS 1
LOCATI N �X1Yt1ilb 2� 41t�^� `N�I1 J�' LEGAL DESCRIPTIONSJv 7
SEPTIC TANK:
NUMBER OF
t )
DISTANCE FROM WELL CC F _MATERIAL__LS !f f �. COMPARTMENTS --
Ir
LIQUID
LIQUID CAPACITY / r ro GALLONS. INSIDE LENGTH INSIDE WIDTH— DEPTH_—
SEEPAGE SYSTEM: SEEPAGE PIT
NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH %` LENGTH f DEPTH _.,
LINING MATERIAL / 'r,XG- . DISTANCE FROM WELL / f� ,BUILDING FOUNDATION"/_,
NEAREST LOT LINE f A TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SO. FT.
TILE DRAIN FIELD:
TOTAL LENGTH
DISTANCE FROM WELL ,_FOUND-ATION , NEAREST LOT LINE , OF LINES —,
NUMBER OF LINES- D15TANCE BETWEEN LINES - TRENCH WIDTH IN. TOTAL EFFECTIVE
ABSORPTION AREA / SO. FT. LENGTH OF EACH LINE —
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE--
WELL:DISTANCE FROM WATER
MPLE_ �- ( i
,
TYPE �T „V`,\� DEPTH_ BUILDING FOUNDATION._ --SA , NEAREST
yy NEAREST SEPTIC // SEEPAGE OTHER --
LOT LINE 'V(/ IG SEWER LINE—_TANK (f —, SYSTEM �� CESSPOOL SOURCES_
DISTANCES:
i J 60
///-7ivt'VX '1-'
DIAGRAM OF SYSTEM
} /( APPROVE
DATE _r-
ALTH AUTHORITY
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DATE _r-
ALTH AUTHORITY
May P4, 1979
miloyIs Peal 1,y
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f 0. Nni lutOJ6
t:agle River, Alaska
SUh.7fct. Lot 36 and 35, Schroeder Subdivislon
Dear Sir:
An i nsnec ti ort csf the ,suh.icct 101: on fia-�1, '1972 revealed
that tJtc �nl'i has be vn upgrade(( to apprnvocl f;()nStruci;i()n.
If YOU have any questions concerning tlsr} a[)()Vr fi1sRsC
do not; hesitate, to c()ntuCt: this office.
Sincerely,
first Ruinfe'1 t
sanitarian
VQ
Jnftn f;n�ersr�n
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GREATER ANCHORAGE AREA BOR013GII
Department of Environmental Quality
3500 Tudor Road, Anchorages Al,-,ka 59507 279-8686'
Date Received
T. Tirne of Inspectioa7
Date of Inspection! 1 % 1-
�5�71
AT, OF
`..
INDTVTDUAIUSEWERO& '77ATEOJFACILITIES
FOR
1. Approval Requested By:� �
Address:
2. Prooerty Owner.:
3
A,
Legal. Description:
�S71-3(0
Phone:
Phone:
Location: J?ahAow, .-rK,���
, —��Type of Facility to be Tn:�r)ected:_-._,�._..��--� �"•" - ---
Number of Bedr.poms: __�
6. Nell Data:
A. Type . B. Depth
C. Construction
D. Bacterial Analysis
7, Sewage Disoosal System:
A. Tnstalled�h_�`_�a� 3°
C. Septic Tank: 1. Size lM02,
D. Seepage Pit: I- Size/��tIZ �tlp 2.
Installer_ �ViI-
���t)
Manufacturaa�Lexf.. - _—
Material koa 0'tMej
E. Disposal Field: Total. Length of Lines
S. Distances:
p C
A„ !"del. J. To: Septic Tank. �% �, Absorption Area o,�9 Sewer Lines
Nearest: Lot. LS.ne vZR.o , Other Cont,amination�
3, Foundation to Sentie Tank % At)sorption Area
C. Absorption Area to Nearest Lot Line_--
Request for Approval of .. .vi.dual Sewer & 'Plater %acilitiee
page Two
9, Comments:
Aoorovec ] 'Disapproved^ ryc � Date e T? rC_--
(jg
proval `Jal.id for One Year From Date Signed
Greater Anchorage Area Borough, Department of Environmental Quality
DTAGRAM OF SYSIFN
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 located at:
Signed Date