HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 4D
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received $/13/74
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
1. Approval requested by:
Mailing Address:
2. Property Owner:
Mailing Address:
3. Legal Description:
4. Location: Citation Street
5. Type of facility to be inspected
6. Well Data: Community Water
FOR
Selective Realty
Eagle River AK
Bob Ridgely
Lot 4DEaale River Valley Ranchettes
A. Type
C. Construction
7. Sewage Disposal System: AS
A. Installed
C. Septic Tank: 1. Size
D. Seepage Pit: 1. Absorption Area
4 - Plex
E. Disposal Field:
Distances:
A. Well to: Septic tank
Nearest lot line
B. Foundation to septic tank
Be
9:00 am
5/17/74
Phone: 6)4-2112
Phone: §~4-2559
No. of bedrooms
B. Depth
D. Bacterial Analysis
B. Installer
2. Manufacturer
2. Material
Total length of lines
, Absorption area
Other contamination
, Absorption area
C. Absorption area to nearest lot line
, Sewer Lines
EQ-034 (1/74)
Page 1 of two pages
Page 2 of tM pages - Req.est for Approval of Individual ~..~er & Water Facilities
Legal Description
Lot 4D Pa_ole River Vala~y {~an~h~tta~
Con~ents
Approved~ ~. & Disapproved Date/~/~
Approval Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
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 and these facilities
are operating satisfactorily.
SIGNED
Date
EQ-034 (1/74)