HomeMy WebLinkAboutInspection Report_RCVH_FORGE#2Municipality of Anchorage
On-Site Water and Wastewater Section • (907) 343-7904 Page of
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: ___________ PID Number: ___________
Dwelling: Single Family (SF) with ADU Duplex (D) Two Single Family Project: New Upgrade
Name ABSORPTION FIELD
Site Address Deep Trench Wide Trench Bed Mound
Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
GPD/SF Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot Ft.Ft.
Fill added above original grade Gravel length
Township Range Section Ft.Ft.
Gravel width Beds: Number of Lines Distance between lines
SEPARATION DISTANCES Ft. Ft.
From
To Septic
Tank
Absorption
Field Lift Station Holding
Tank
Sewer
Line
Total absorption area Number of trenches Dist. between trenches
Ft2 Ft.
Well TANK Septic S.T.E.P. Holding Other
Manufacturer Capacity
Surface Water
NA
Gal.
Material Number of compartments
Lot Line
Foundation LIFT STATION
Manufacturer Capacity
Gal. Remarks
Alarm location Electrical installed by
Installer PIPE MATERIAL House to tank Tank to
drainfield
Drainfield CO/MT
Inspector BENCH MARK (Assumed elevation)ft
Inspection
dates:1st 2nd
Location and description
3rd 4th
ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer’s Stamp
Conditional Approval: Date
Septic System
Approved ____________________________ Date
Note: this approval does not include well permit requirements.
(Rev 05/02/18)
12/16/2025