HomeMy WebLinkAboutPLEASANT GROVE LT 13
GREATER ANGHORAGE AREA BOROUGH
Department of Environmental QuaLity
3500 Tudor Road, Anchorage~ Alaska 99507 279~8686
Date of
REQUEST FOR APPROVAl, OF
INDIVIDUAl. SEWER & WATER FACILITIES
2. Prooerty O~ner: _ -
.ooation,_
5. Tyoe of Facb. li%y to be Inspected:
Phone:
Phone :~z?z/ .~¢ ~
Number of Bedrooms
A, Type
B, Dep%h
C. Construction D, Bacterial Analysis
....... ----~----'- /~/,'/on To,' /'/,¢., f
A. In~talted B, Installer
...C, Septic Tank: ~'~:. Size /¢~(..?CP 2, Manufacturer
D, Seepage Pi%'¢/].o Size '~ 2o Material
E. Disposal Field: Toi:,a]. Length of Lines
Distances:
A. WellTo:
Septic Tank ~_.~i , Absorption Area
, Neares~ Lot Line , Other Contamination
Poundatien to Septic Tank "~ Absorption Area
Absorp%ien Area %o Nearest Lot Line
Sewer Lines
age .. ,: ,~ n~. .er:z,~-.:;'~.~; ~.,f · ' . ..
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